Kevin M Keogh (NPI# 1851677157, PAC ID# 6204003775) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851677157 |
| PAC ID by PECOS | 6204003775 |
| Professional Enrollment ID | I20120124000645 |
| Full Name | Kevin M Keogh |
| Organization Legal Name | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Address |
115 Medical Ctr Blvd Fayetteville TN 37334-2689 |
| Phone Number | 9314335000 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709030133 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 115 Medical Ctr Blvd, Fayetteville, TN 37334-2689 | 9314335000 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Organization Legal Name | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina Mercer Ward | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
| Aquita Thomas | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 7054 Veterans Pkwy, Pell City, AL 35125-5117 |
| Irene Mutembei | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 3605 Ratliff Rd, Birmingham, AL 35210-4512 |
| Gina Marie Sumpter | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Janine Gibbs Larry | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 16391 Robinson Rd, Gulfport, MS 39503-4816 |
| Lauren Mcminn | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 101 Villa Dr, Daphne, AL 36526-4653 |
| Dawn Renee Pomaibo | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 601 S Church St, Mount Pleasant, PA 15666-1703 |
| Jacinta Tokeya Stegall | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 405 Briarwood Dr, 103g, Jackson, MS 39206-3029 |
| Mary Elizabeth Maceachern-crain | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 301 S Perimeter Dr, Suite 123, Nashville, TN 37211-4128 |
| Terri Hipp | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 909 W St, Pittsburgh, PA 15221-2833 |
| Street Address |
115 MEDICAL CTR BLVD |
| City | FAYETTEVILLE |
| State | TN |
| Zip | 37334-2689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Lei Hamstra | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 115 Medical Ctr Blvd, Fayetteville, TN 37334-2689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter C Bennett | Nurse Practitioner | 4140 Thornton Taylor Pkwy D, Fayetteville, TN 37334-2290 | |
| Melinda T Williams | Nurse Practitioner | 4114 Thornton Taylor Pkwy, Fayetteville, TN 37334-2662 | |
| Linda S Mills | Clinical Social Worker | Wellness Solutions Geriatrics, Pllc | 4081 Thornton Taylor Pkwy, Fayetteville, TN 37334-2674 |
| Oluwaseyi S. Balasire | Internal Medicine | App of Tennessee Hm, Pllc | 106 Medical Ctr Blvd, Fayetteville, TN 37334-2684 |
| Chukwuma C Umunakwe | Internal Medicine | App of Tennessee Hm, Pllc | 106 Medical Ctr Blvd, Fayetteville, TN 37334-2684 |
| Claudia C Cox | Internal Medicine | App of Tennessee Hm, Pllc | 106 Medical Ctr Blvd, Fayetteville, TN 37334-2684 |
| John M Dickson | Nurse Practitioner | App of Tennessee Hm, Pllc | 106 Medical Ctr Blvd, Fayetteville, TN 37334-2684 |
| James C Estes | Nurse Practitioner | App of Tennessee Hm, Pllc | 106 Medical Ctr Blvd, Fayetteville, TN 37334-2684 |
| Justin R Tomal | Internal Medicine | App of Tennessee Hm, Pllc | 106 Medical Ctr Blvd, Fayetteville, TN 37334-2684 |
| Martin P Kiser | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 106 Medical Ctr Blvd, Fayetteville, TN 37334-2684 |
| Find all physicians in zip 37334 | |||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FAYETTEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kevin M Keogh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.