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
Fax: (612) 262-7989
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013067610 NPPES
Minnesota MEDICAID 1027328-00

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