Individual
MRS. KEEGAN J ZIEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
76 FORT EDDY RD, SUITE 1 #1075, CONCORD, NH 03301
(501) 229-9346
Mailing address
76 FORT EDDY RD, SUITE 1 #1075, CONCORD, NH 03301
(501) 229-9346
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101271796
VA
208D00000X
General Practice Physician
1014384
MA
208D00000X
General Practice Physician
21260
NH
208D00000X
General Practice Physician
320959
NY
208D00000X
General Practice Physician
35.123674
OH
208D00000X
General Practice Physician
MD469713
PA
208D00000X
General Practice Physician
TPME3162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101271796
STATE LICENSE
VA
01
—
1014384
STATE LICENSE
MA
01
—
21260
STATE LICENSE
NH
01
—
320959
STATE LICENSE
NY
01
—
35.123674
STATE LICENSE
OH
01
—
96605
STATE LICENSE
GA
01
—
MD469713
STATE LICENSE
PA
01
—
NCX417A
MEDICARE
NC
01
—
TPME3162
STATE LICENSE
FL
01
—
U8858
STATE LICENSE
TX
Enumeration date
04/06/2011
Last updated
03/02/2026
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