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Individual

MS. PATRICIA ANN KEOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
330 CIVIC CENTER DR, AUGUSTA, ME 04330-8097
(207) 430-4321
(207) 430-4320
Mailing address
24 FAIRVIEW AVENUE, AUGUSTA, ME 04330-1240
(207) 430-4321

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
177120
MA
363LA2200X
Adult Health Nurse Practitioner
R048157
ME

Other

Enumeration date
08/31/2006
Last updated
12/06/2013
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