Individual
DANIELLE L KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2206
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1631581
CO
363LF0000X
Family Nurse Practitioner
Primary
1631581
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538523766
—
CO
05
—
18770126
—
CO
01
—
488209YLSH
MEDICARE PTAN
CO
Enumeration date
04/13/2016
Last updated
11/09/2023
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