KEADY FAMILY PRACTICE; NPI #1366826828

Contact Information

KEADY FAMILY PRACTICE

71 BELKNAP AVE
NEWPORT, NH 03773-1536

Phone: 603-863-7777
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	363LP2300X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for KEADY FAMILY PRACTICE

NPI # 1366826828

LBN Legal business name KEADY FAMILY PRACTICE

Authorized official JAMES KEADY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/15/2015

Last updated 07/20/2015 - About 11 years ago

Identifiers

License #

05253223

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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