Individual
CECILIA M VICUNA KEADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
157 MAIN STREET, CHARLESTOWN, NH 03603
(603) 863-4100
(603) 526-5085
Mailing address
PO BOX 93, CHARLESTOWN, NH 03603-0093
(603) 826-3434
(603) 769-3406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0525322303
NH
207Q00000X
Family Medicine Physician
1010030222
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010552
—
VT
Enumeration date
02/09/2006
Last updated
10/24/2013
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