Healthcare Provider Details

I. General information

NPI: 1417357906
Provider Name (Legal Business Name): MICHAEL SEAN KEEGAN MC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2014
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 ILLINOIS ST
SIDNEY NE
69162-1747
US

IV. Provider business mailing address

730 W 3RD ST
HASTINGS NE
68901-5134
US

V. Phone/Fax

Practice location:
  • Phone: 308-249-7853
  • Fax: 308-365-5122
Mailing address:
  • Phone: 623-326-4681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC14194
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2963
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: