Individual
KERRY ELLEN KEAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 ABBOTT ST APT 2, LEBANON, NH 03766-1633
(603) 359-2776
Mailing address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(866) 687-8387
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
064082-21
NH
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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