Individual
SANDRA KEDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 PILLSBURY ST, CONCORD, NH 03301-3556
(603) 224-4776
Mailing address
4 GREENSBORO RD, HANOVER, NH 03755-3100
(864) 505-2454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
039078-21
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
039078-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100822
—
NH
Enumeration date
10/04/2014
Last updated
05/11/2015
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