Proctor, Keira Rose

Proctor, Keira Rose is an individual health care provider with primary practice located at 248 Pleasant St Ste 2800 , Concord NH 03301-7529. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Proctor, Keira Rose can be contacted via phone (603) 224-5200.

Contact Information

Primary practice address
248 Pleasant St Ste 2800 Concord NH 03301-7529
Phone: (603) 224-5200
Fax: (603) 227-7559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2353 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2353 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1398 New Hampshire

Profile Details

NPI number 1912190950
LBN Legal business name Proctor, Keira Rose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2007
Last updated Aug 9th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912190950 NPPES
Massachusetts Other 0002193 MEDICARE PTAN

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