Individual
KEVIN PATRICK KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
381 COOLEY ST, SPRINGFIELD, MA 01128-1113
(413) 783-4451
(413) 782-9238
Mailing address
381 COOLEY ST, SPRINGFIELD, MA 01128-1113
(413) 783-4451
(413) 782-9238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239244
MA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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