Individual
KELLY A KEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
65 LAFAYETTE RD, SECOND FLOOR, NORTH HAMPTON, NH 03862-2480
(603) 964-3392
(603) 964-3396
Mailing address
71 LITTLE RIVER RD, HAMPTON, NH 03842-1427
(603) 964-3392
(603) 964-3396
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
033294-21
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000366111
—
MA
05
—
30342746
—
NH
05
—
403160099
—
ME
01
—
40Y005383NH01
ANTHEM BLUECROSS
NH
Enumeration date
05/26/2006
Last updated
07/08/2007
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