Individual
KELLY L KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
160 WAYLAND SMITH DR STE 102, UNIONTOWN, PA 15401-7500
(724) 438-3300
(724) 438-3366
Mailing address
575 COAL VALLEY RD STE 204, CLAIRTON, PA 15025-3724
(412) 466-2220
(412) 466-4048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008409
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031325430002
—
PA
05
—
1031543900003
—
PA
Enumeration date
02/08/2007
Last updated
05/21/2024
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