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Individual
KEVIN KEOGH
Active
Individual
KEVIN KEOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000016238
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P02067604
RAILROAD MEDICARE
TN
Enumeration date
10/31/2011
Last updated
10/04/2018
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