Individual
ELIZABETH M KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 HOLLIS STREET, MANCHESTER, NH 03101-1235
(603) 626-9500
(606) 626-0899
Mailing address
143 NORTH MAIN ST, MONT VERNON, NH 03057
(603) 663-8060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9043
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010399
—
NH
Enumeration date
09/21/2006
Last updated
08/04/2008
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