Doctor Name: | KELLY A KEAN |
NPI Number: | 1689620916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 033294-21 |
Business Practice Address: | 65 Lafayette Rd Second Floor North Hampton, NH - 038622480 |
Business Phone Number: | 6039643392 |
Business Fax Number: | 6039643396 |
Mailing Address: | 71 Little River Rd, HAMPTON |
State: | NH |
Postal Code: | 038421427 |
Phone Number: | 6039643392 |
Fax Number: | 6039643396 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 033294-21 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |