Kathleen Annette Keogh, RN, CNP | |
1055 Westgate Dr, Saint Paul, MN 55114-1065 | |
(651) 635-9173 | |
(612) 262-7989 |
Full Name | Kathleen Annette Keogh |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 1055 Westgate Dr, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013067610 | NPI | - | NPPES |
1027328-00 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | R117190-9 (Minnesota) | Primary |
Entity Name | Medica Health Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750655882 PECOS PAC ID: 5092944140 Enrollment ID: O20140212001201 |
Mailing Address | Practice Location Address |
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Kathleen Annette Keogh, RN, CNP 16183 Tahinka Pl Nw, Prior Lake, MN 55372-1850 Ph: () - | Kathleen Annette Keogh, RN, CNP 1055 Westgate Dr, Saint Paul, MN 55114-1065 Ph: (651) 635-9173 |
Leslie Ewens, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 671 Vandalia St, Saint Paul, MN 55114 Phone: 651-698-2406 | |
Michelle Coleen Hicks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106 | |
Sadie Marie Nelson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-240-5511 | |
Mrs. Sarah Lynne Potts, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-241-8000 | |
Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589 | |
Jeanne Rancone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517 | |
Amy F Larson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6300 Fax: 952-967-7616 |