Individual
MS. KIMBERLY KEOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SPED
Contact information
Practice address
1311 APPEAL AVE, ELMONT, NY 11003-3302
(516) 451-6967
Mailing address
1311 APPEAL AVENUE, ELMONT, NY 11375-1022
(516) 451-6967
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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