Individual
KIMBERLY KEEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4362
(860) 258-3480
Mailing address
2110 SILAS DEANE HIGHWAY, WETHERSFIELD, CT 06109
(860) 258-3480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7311
CT
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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