Individual
KATHLEEN ANNETTE KEOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
1055 WESTGATE DR, SAINT PAUL, MN 55114-1065
(651) 635-9173
(612) 262-7989
Mailing address
16183 TAHINKA PL NW, PRIOR LAKE, MN 55372-1850
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R117190-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027328-00
—
MN
Enumeration date
01/12/2007
Last updated
04/29/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us