Individual
KRISTEN KEOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
661 E 4TH ST, SOUTH BOSTON, MA 02127-3063
(617) 794-0471
Mailing address
661 E 4TH ST, SOUTH BOSTON, MA 02127-3063
(617) 794-0471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2287394
MA
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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