Keogh, Kathleen Annette
Keogh, Kathleen Annette is an sole proprietor health care provider with primary practice located at 1055 Westgate Dr , Saint Paul MN 55114-1065. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Keogh, Kathleen Annette can be contacted via phone (651) 635-9173.Contact Information
Primary practice address
1055 Westgate Dr
Saint Paul MN 55114-1065
Phone: (651) 635-9173
Fax: (612) 262-7989
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | R117190-9 | Minnesota |
Profile Details
NPI number | 1013067610 |
---|---|
LBN Legal business name | Keogh, Kathleen Annette |
Credentials | RN, CNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 12th, 2007 |
Last updated | Apr 29th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013067610 | NPPES |
Minnesota | MEDICAID | 1027328-00 |
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