Individual provider · Type 1 NPI

Kevin Eugene Keough

Attendant Care Provider · Lake Havasu City, AZ

NPI number 1396396586 Active

Practice location

3181 Pintail Dr
Lake Havasu City, AZ 86406-5543

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1396396586

Kevin Eugene Keough's National Provider Identifier is 1396396586, issued on Sep 27, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Sep 27, 2019.