Individual
KURT KEOGH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-3167
Mailing address
PO BOX 2225, INDIANAPOLIS, IN 46206-2225
(800) 968-6866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301078631
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4639534
—
MI
Enumeration date
11/23/2005
Last updated
07/08/2007
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