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Contact Information

JEAN KEOUGH
CHILDREN'S DEVELOPMENTAL SERVICES AGENCY - DEPT OF PED
IRONS BUILDING - OGLESBY DR.
GREENVILLE, NC27858
 Phone: 252-737-1177
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JEAN KEOUGH · (Female)

NPI # 1912077264
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 48521
  • NC Other 48521 BCBS NC
Hospital affiliation(s) Not Available
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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