Provider Demographics
NPI:1174693972
Name:TOIVANEN, KATHLEEN MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MARIE
Last Name:TOIVANEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 677
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-0677
Mailing Address - Country:US
Mailing Address - Phone:603-436-2667
Mailing Address - Fax:603-436-2673
Practice Address - Street 1:875 GREENLAND RD
Practice Address - Street 2:ORCHARD PARK, SUITE B11
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4164
Practice Address - Country:US
Practice Address - Phone:603-436-2667
Practice Address - Fax:603-436-2673
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7106207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH9620201 003OtherCIGNA PPO
NHAA 26643OtherHARVARD-PILGRIM HEALTH PLANS
NH0101767Y0NH01OtherANTHEM - BLUE CROSS BLUE SHIELD
NH0704692OtherUNITED HEALTHCARE
NH30001114Medicaid
NH5660OtherCIGNA
10905769OtherCAQH ID#
NH9620201OtherCIGNA HEALTHCARE
NH020400421OtherCHAMPUS TRICARE
NH9620201 003OtherCIGNA PPO
NHNH1767Medicare ID - Type Unspecified
NH30001114Medicaid