Individual
GEORGE KEITHAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
599 FARMINGTON AVE STE 202, FARMINGTON, CT 06032-2383
(860) 837-5170
Mailing address
204 HIDDEN LAKE RD, HIGGANUM, CT 06441-4502
(860) 510-1157
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10.188585
CT
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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