Individual
MARK G KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908
(401) 490-7551
Mailing address
4 STUART DR, COVENTRY, RI 02816
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA24861
RI
Other
Enumeration date
04/02/2007
Last updated
01/22/2008
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