MEDICARE: KRISTIN ANN KEEFE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician	212947	MA
2	207V00000X	Obstetrics & Gynecology Physician	212947	MA
3	207VH0002X	Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician	Q6337	TX
4	207VH0002X	Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician	10951	NH
5	207VX0201X	Gynecologic Oncology Physician	212947	MA
6	207VH0002X	Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician	G83013	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	725746	OTHER	MA	TUFTS MEDICARE PREFERRED

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	97173903	OTHER	MA	NETWORK HEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	725746	OTHER	MA	TUFTS HEALTH PLAN

General Provider Information

NPI Number	:	1841258209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN ANN KEEFE M.D.

Provider Business Mailing Address
First Line	:	ELLIOT HOSPITAL
Second Line	:	PALLIATIVE CARE
City	:	MANCHESTER
State	:	NH
Zip	:	03103
Country	:	US
Telephone Number	:	603-663-2266
Fax Number	:	603-663-2273

Provider Business Practice Location Address
First Line	:	PALLIATIVE CARE
Second Line	:	445 CYPRESS ST SUITE 8
City	:	MANCHESTER
State	:	NH
Zip	:	03103
Country	:	US
Telephone Number	:	603-663-4023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	05/15/2023

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