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Individual

W. SCOTT KEIGWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1800 MAIN RD, TIVERTON, RI 02878-4625
(401) 625-5552
(401) 625-5277
Mailing address
200 MILL ROAD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO 00435
RI
207Q00000X
Family Medicine Physician
Primary
DO00435
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004736
RI BLUE CHIP
RI
01
20377-1
RI BC/BS
RI
05
7003531
RI
Enumeration date
07/01/2005
Last updated
04/22/2020
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