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Individual
MR. KEITH ALAN FARRELL
Active
Individual
MR. KEITH ALAN FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS MPH APRN
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
20020
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014951
—
VT
05
—
30346786
—
NH
Enumeration date
04/25/2008
Last updated
05/25/2016
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