NPI 1396396586
Kevin Eugene Keough
Practice location
- Address
- 3181 Pintail Dr, Lake Havasu City, AZ 86406-5543
- Phone
- (760) 505-2516
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1396396586
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Sep 2019
- Record last updated
- 27 Sep 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.