Individual
TIMOTHY P KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2000
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
21919
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2802
—
SC
Enumeration date
02/28/2018
Last updated
06/10/2024
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