Carolyn Burdett Keough, PMHNP-BC - Substance Abuse Rehabilitation Facility in Clearwater, FL

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Carolyn Burdett Keough, PMHNP-BC is a Substance Abuse Rehabilitation Facility based in Clearwater, Florida. Carolyn Burdett Keough is licensed to practice in Florida (license number APRN11024878) and her current practice location is 6150 150th Ave N, Clearwater, Florida. She can be reached at her office (for appointments etc.) via phone at (727) 422-0352.

NPI number for Carolyn Burdett Keough is 1740980234 and her current mailing address is 8954 Antigua Dr, Seminole, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740980234.

Contact Information

Carolyn Burdett Keough, PMHNP-BC
6150 150th Ave N,
Clearwater, FL 33760-2138
(727) 422-0352
Not Available

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Provider's Profile

Full NameCarolyn Burdett Keough
GenderFemale
SpecialitySubstance Abuse Rehabilitation Facility
Location6150 150th Ave N, Clearwater, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740980234
  • Provider Enumeration Date: 03/06/2023
  • Last Update Date: 01/29/2025

Medical Identifiers

Medical identifiers for Carolyn Burdett Keough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740980234NPI-NPPES
122759400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11024878 (Florida)Secondary
324500000XSubstance Abuse Rehabilitation Facility APRN11024878 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Burdett Keough is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carolyn Burdett Keough, PMHNP-BC
8954 Antigua Dr,
Seminole, FL 33777-2144

Ph: (727) 421-8551		Carolyn Burdett Keough, PMHNP-BC
6150 150th Ave N,
Clearwater, FL 33760-2138

Ph: (727) 422-0352

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