Provider Demographics
NPI:1124290762
Name:KIDDER, KARA FLYNN (MED)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:FLYNN
Last Name:KIDDER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:FLYNN
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:PO BOX 1624
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-1624
Mailing Address - Country:US
Mailing Address - Phone:603-526-4230
Mailing Address - Fax:603-526-6261
Practice Address - Street 1:370 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257
Practice Address - Country:US
Practice Address - Phone:603-526-4230
Practice Address - Fax:603-526-6261
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH701101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health