Individual
CANDACE L. O KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
235 HANOVER ST, FALL RIVER, MA 02720-5246
(508) 973-1750
(508) 235-6658
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3846
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000726
CTCARE
CT
01
—
290000726CT02
ANTHEM
CT
01
—
P00269488
MEDICARE RAILROAD
CT
Enumeration date
04/08/2006
Last updated
06/06/2024
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