Provider Demographics
NPI:1144025131
Name:MANCHESTER AESTHETICS, PLLC
Entity type:Organization
Organization Name:MANCHESTER AESTHETICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:KLINK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-525-8376
Mailing Address - Street 1:7 HIGHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER BY THE SEA
Mailing Address - State:MA
Mailing Address - Zip Code:01944-1013
Mailing Address - Country:US
Mailing Address - Phone:978-525-8376
Mailing Address - Fax:
Practice Address - Street 1:25 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3867
Practice Address - Country:US
Practice Address - Phone:978-463-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty