Individual
BRITTANY KEOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
318 ARLINGTON DR, ROCHESTER HILLS, MI 48307-2806
(734) 355-7332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704285694
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704285694
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2016
Last updated
07/31/2019
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