# CECILIA M VICUNA KEADY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558334656
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0525322303 | NH | Yes |
| 207Q00000X | Family Medicine Physician | 1010030222 | VT | — |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 10/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1010552 | — | VT |