Active NPIIndividual providerSole proprietor

Kristen Keough, BSN, RN

Registered Nurse in South Boston, Massachusetts

NPI Number1114358587
Practice location
661 E 4TH St, South Boston, MA 02127-3063
Fax
—
Last updated
December 10, 2013

Kristen Keough is a Registered Nurse based in South Boston, MA. Kristen Keough practices in South Boston, MA and has the professional credentials of BSN, RN. The NPI Number for Kristen Keough is 1114358587 and holds a License No. 2287394 (MA). The current practice location address for Kristen Keough is 661 E 4TH St, South Boston, MA 02127-3063 and can be reached out via phone at 617-794-0471.

Provider Profile Details

NPI Number
1114358587
Provider Name
Kristen Keough
Credential
BSN, RN
Provider Entity Type
Individual
Gender
Female
Address
661 E 4TH St, South Boston, MA 02127-3063
Phone Number
617-794-0471
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 10, 2013
Last Update Date
December 10, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
661 E 4TH St
South Boston, MA 02127-3063
Zip
02127-3063
Phone Number
617-794-0471
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
661 E 4TH St
South Boston, MA 02127-3063
City
South Boston
State
MA
Zip
02127-3063
Phone Number
617-794-0471

License Information

License Number
2287394
License State
MA
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristen Keough, BSN, RN?

The NPI number of Kristen Keough, BSN, RN is 1114358587. It was assigned on December 10, 2013 and is currently active in the NPPES registry.

What is the specialty of Kristen Keough, BSN, RN?

Kristen Keough, BSN, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number 2287394.

Where does Kristen Keough, BSN, RN practice?

The practice location is 661 E 4TH St, South Boston, MA 02127-3063. The office can be reached at 617-794-0471 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114358587 directly on the NPPES registry website.

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