Individual provider · Type 1 NPI

Kathleen Annette Keogh, RN, CNP

Gerontology Nurse Practitioner · St. Paul, MN

NPI number 1013067610 Active

Practice location

1055 Westgate Dr
St. Paul, MN 55114-1065

Fax (612) 262-7989

Mailing address

16183 Tahinka Pl NW
Prior Lake, MN 55372-1850

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR117190-9 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1013067610

Kathleen Annette Keogh, RN, CNP's National Provider Identifier is 1013067610, issued on Jan 12, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Paul, MN. The record was last updated on Apr 29, 2011.