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Kimberly Keegan

Specialist in Rocky Point, NY. Individual provider (NPI-1).

NPI number1104187095
StatusActive
Last updated in NPPESAug 5, 2024

Details

NPI
1104187095
Entity type
Individual (NPI-1)
Name
Kimberly Keegan
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 6, 2012
Certification date
Aug 5, 2024
Last updated
Aug 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist347382NYYes

Practice location

127 Magnolia Dr
Rocky Point, NY 11778-9186

Phone 631-320-6801

Mailing address

127 Magnolia Dr
Rocky Point, NY 11778-9186

Phone 631-320-6801

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