Kathleen A Keogh (NPI# 1013067610, PAC ID# 9537118765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013067610 |
| PAC ID by PECOS | 9537118765 |
| Professional Enrollment ID | I20050114000390 |
| Full Name | Kathleen A Keogh |
| Organization Legal Name | RIDGEVIEW MEDICAL CENTER |
| Address |
4695 Shoreline Dr Spring Park MN 55384-9715 |
| Phone Number | 9524427890 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234041997 |
| Number of Group Practice Members | 195 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241361 | MAYO CLINIC HEALTH SYSTEM-NEW PRAGUE |
| 241311 | RIDGEVIEW SIBLEY MEDICAL CENTER |
| 241375 | MINNESOTA VALLEY HEALTH CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 9524427890 | RIDGEVIEW MEDICAL CENTER |
| Organization Legal Name | RIDGEVIEW MEDICAL CENTER |
| Physicians | 160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler K Johnson | Physician Assistant | Ridgeview Medical Center | 7907 Powers Blvd, Chanhassen, MN 55317-9502 |
| Elizabeth Lynn Kennedy | Family Medicine | Ridgeview Medical Center | 675 Water St, Excelsior, MN 55331-3072 |
| Gretchen A Soberay | Family Medicine | Ridgeview Medical Center | 916 Saint Peter St, Delano, MN 55328-2813 |
| Roberta M Midwinter | Family Practice | Ridgeview Medical Center | 551 4th N St, Winsted, MN 55395-7789 |
| Jeffrey Duane Martin | Certified Registered Nurse Anesthetist (crna) | Ridgeview Medical Center | 500 S Maple St, Waconia, MN 55387-1752 |
| Rachael M Harter | Internal Medicine | Ridgeview Medical Center | 7907 Powers Blvd, Chanhassen, MN 55317-9502 |
| Sara E Maurer | Nurse Practitioner | Ridgeview Medical Center | 500 S Maple St, Waconia, MN 55387-1752 |
| Edmund P Chute | Vascular Surgery | Ridgeview Medical Center | 111 Hundertmark Rd, Suite 115n, Chaska, MN 55318-1584 |
| Bruce J Hubbard | Emergency Medicine | Ridgeview Medical Center | 111 Hundertmark Rd, Chaska, MN 55318-4551 |
| Cynthia M Brick | Certified Registered Nurse Anesthetist (crna) | Ridgeview Medical Center | 500 S Maple St, Waconia, MN 55387-1752 |
| Street Address |
4695 SHORELINE DR |
| City | SPRING PARK |
| State | MN |
| Zip | 55384-9715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenna E Walker | Occupational Therapy | Infinite Health Collaborative Pa | 4695 Shoreline Dr, Spring Park, MN 55384-9715 |
| Brian Arnold Henjum | Family Medicine | Ridgeview Medical Center | 4695 Shoreline Dr, Spring Park, MN 55384-9715 |
| Jerry R Petersen | Family Medicine | Ridgeview Medical Center | 4695 Shoreline Dr, Spring Park, MN 55384-9715 |
| Guy P Runkle | Family Medicine | Ridgeview Medical Center | 4695 Shoreline Dr, Spring Park, MN 55384-9715 |
| Sheila N Seats | Family Practice | Ridgeview Medical Center | 4695 Shoreline Dr, Spring Park, MN 55384-9715 |
| City | SPRING PARK |
| Zip Code | 55384 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPRING PARK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathleen A 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.