Individual
NICOLE L KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 N ANDERSON ST, BISMARCK, ND 58501-3409
(701) 541-2538
Mailing address
913 N ANDERSON ST, BISMARCK, ND 58501-3409
(701) 541-2538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
3747P1801X
Personal Care Attendant
Primary
1174082291
ND
Other
Enumeration date
03/18/2019
Last updated
08/04/2026
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