Individual
DR. MICHAEL J KEOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 KIRMAN AVE, RENO, NV 89502-0993
(888) 838-6256
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9500969
NC
207RC0000X
Cardiovascular Disease Physician
Primary
9500969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8948151
—
NC
Enumeration date
09/20/2006
Last updated
12/17/2019
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