Provider Demographics
NPI:1942256557
Name:DR. KEN GEORGE & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:DR. KEN GEORGE & ASSOCIATES, P.A.
Other - Org Name:NEW ENGLAND CENTER FOR HOLISTIC HEALTHCARE, P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:T
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-772-6400
Mailing Address - Street 1:89 PORTSMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-2467
Mailing Address - Country:US
Mailing Address - Phone:603-772-6400
Mailing Address - Fax:603-772-2019
Practice Address - Street 1:89 PORTSMOUTH AVE
Practice Address - Street 2:
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885-2467
Practice Address - Country:US
Practice Address - Phone:603-772-6400
Practice Address - Fax:603-772-2019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6421001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty