Individual
MS. LAURIE KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, PA-C
Contact information
Practice address
1113 SHERMAN ST, SAINT PAUL, NE 68873-1546
(308) 754-4421
(308) 754-4429
Mailing address
1113 SHERMAN ST, PO BOX 406, SAINT PAUL, NE 68873-1546
(308) 754-4421
(308) 754-4429
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2001
NE
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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