Individual
PATRICIA ELIZABETH KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
31 HALL DR, AMHERST MEDICAL CENTER, AMHERST, MA 01002-2751
(413) 256-8561
(413) 256-4421
Mailing address
31 HALL DRIVE, VMG AMHERST MEDICAL CENTER, AMHERST, MA 01002
(413) 256-8561
(866) 644-0869
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
268238
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0718262
—
MA
01
—
136849
FALLON COMMUNITY HEALTH PLAN
MA
01
—
268238
CONNECTICARE, INC.
MA
Enumeration date
04/03/2008
Last updated
03/21/2023
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