Keddy, Theresa M.

Keddy, Theresa M. is an individual health care provider with primary practice located at 8D Canal Ct , Avon CT 06001-3747. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Keddy, Theresa M. can be contacted via phone (860) 674-9686.

Contact Information

Primary practice address
8D Canal Ct Avon CT 06001-3747
Phone: (860) 674-9686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002854 Connecticut

Profile Details

NPI number 1699019281
LBN Legal business name Keddy, Theresa M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2012
Last updated Dec 7th, 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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