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Individual

DR. KEVIN THOMAS KEEGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
990 MAIN ST., SUITE 3, EAST GREENWICH, RI 02818
(401) 885-7992
Mailing address
990 MAIN ST., SUITE 3, EAST GREENWICH, RI 02818
(401) 885-7992

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
053
RI
111N00000X
Chiropractor
Primary
DCP00262
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
359009009
GROUP PTAN/PAY-TO-PROVIDE
RI
Enumeration date
09/29/2006
Last updated
11/25/2015
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