Individual
RITA M. KETAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE, BC-ADM
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8630
Mailing address
PO BOX 4, LYME CENTER, NH 03769-0004
(603) 795-9375
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
01689021
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007711
—
VT
Enumeration date
07/30/2006
Last updated
07/08/2007
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