Individual
MS. ELIZABETH J. KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
123 SUMMER ST, SUITE 590 N., WORCESTER, MA 01608-1216
(508) 368-3179
(508) 368-3164
Mailing address
100 FRONT ST, WOT 12TH FLOOR, WORCESTER, MA 01608-1425
(508) 368-5532
(508) 368-5530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2310
MA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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