Individual
CARYNNE KEYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 ORANGE ST, NANTUCKET, MA 02554-4028
(508) 648-8348
(508) 648-8348
Mailing address
125 ORANGE ST, NANTUCKET, MA 02554-4028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8082
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031240
MEDICARE PTAN
MA
Enumeration date
10/23/2009
Last updated
09/17/2014
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