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Kevin Eugene Keough
Attendant Care Provider in Lake Havasu City, Arizona
NPI 1396396586

Kevin Eugene Keough is an Attendant Care Provider based in Lake Havasu City, AZ and is specialized in Attendant Care Provider. Kevin Eugene Keough practices in Lake Havasu City, AZ. The NPI Number for Kevin Eugene Keough is 1396396586 and holds a License No. (Arizona).

The current practice location address for Kevin Eugene Keough is 3181 Pintail Dr, Lake Havasu City, AZ and can be reached out via phone at 760-505-2516. You can also correspond with Kevin Eugene Keough through the mailing address at 3181 PINTAIL DR, LAKE HAVASU CITY, AZ - 86406-5543 (mailing address contact number: 760-505-2516).

Location: 3181 Pintail Dr, Lake Havasu City, AZ, 86406-5543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396396586
Provider Name
Kevin Eugene Keough
Credential
Provider Entity Type
Individual
Gender
Male
Address
3181 Pintail Dr, Lake Havasu City, AZ, 86406-5543
Phone Number
760-505-2516
Fax Number
Provider Enumeration Date
09/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3181 Pintail Dr
City
Lake Havasu City
State
Arizona
Zip
86406-5543
Phone Number
760-505-2516
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Pintail Dr
City
Lake Havasu City
State
Arizona
Zip
86406-5543
Phone Number
760-505-2516
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
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Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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