Keogh, Kurt
Keogh, Kurt is an individual health care provider with primary practice located at 1 Genesys Pkwy , Grand Blanc MI 48439-8065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Keogh, Kurt can be contacted via phone (810) 606-3167.Contact Information
Primary practice address
1 Genesys Pkwy
Grand Blanc MI 48439-8065
Phone: (810) 606-3167
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301078631 | Michigan |
Profile Details
| NPI number | 1528041407 |
|---|---|
| LBN Legal business name | Keogh, Kurt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1528041407 | NPPES |
| Michigan | MEDICAID | 4639534 |
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