Provider Demographics
NPI:1518350453
Name:MANNING, KEVIN (CSFA)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:MANNING
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 HAMPTON TOWNE EST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-1975
Mailing Address - Country:US
Mailing Address - Phone:603-767-8229
Mailing Address - Fax:
Practice Address - Street 1:64 HAMPTON TOWNE EST
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-1975
Practice Address - Country:US
Practice Address - Phone:603-767-8229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant