Individual
MR. KEEGAN MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
361 TOMAQUAG RD, ASHAWAY, RI 02804-2912
(401) 440-5528
Mailing address
361 TOMAQUAG RD, ASHAWAY, RI 02804-2912
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN65323
RI
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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