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Contact Information

KATHLEEN A KEOGH, RN, CNP
1055 WESTGATE DR
SAINT PAUL, MN55114-1065
 Phone: 651-635-9173
 Fax: 612-262-7989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATHLEEN A KEOGH · (Female)

NPI Number 1013067610
Status Active
Credentials RN, CNP
Entity Individual
Enumeration date 01/12/2007
Last updated 04/29/2011 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # R117190-9
  • MN Medicaid 1027328-00
Hospital affiliation(s)
  • MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE - (Critical Access)
    301 2ND STREET NORTHEAST
    NEW PRAGUE, MN 56071
  • MINNESOTA VALLEY HEALTH CENTER INC - (Critical Access)
    621 SOUTH FOURTH STREET
    LE SUEUR, MN 56058
  • SIBLEY MEDICAL CENTER - (Critical Access)
    601 WEST CHANDLER
    ARLINGTON, MN 55307
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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