Fannin, Keith Ray

Fannin, Keith Ray is an individual health care provider with primary practice located at One Medical Center Drive Dartmouth Hitchcock - General Surgery, Lebanon NH 03756. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Fannin, Keith Ray can be contacted via phone (603) 650-7903.

Contact Information

Primary practice address
One Medical Center Drive Dartmouth Hitchcock - General Surgery Lebanon NH 03756
Phone: (603) 650-7903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN.372827 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 077205-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 077205-23 New Hampshire

Profile Details

NPI number 1457809881
LBN Legal business name Fannin, Keith Ray
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2016
Last updated Mar 20th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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