Search › Arizona › 3747A0650X
Kevin Keough
NPI 1396396586 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3181 Pintail Dr
Lake Havasu City, AZ 86406 - Phone
- (760) 505-2516
Registry record
- Primary taxonomy
- 3747A0650X
3747A0650X
- Sex
- Male
- Record last updated
- 2019-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona