MEDICARE: KEVIN EUGENE KEOUGH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1396396586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN EUGENE KEOUGH

Provider Business Mailing Address
First Line	:	3181 PINTAIL DR
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86406-5543
Country	:	US
Telephone Number	:	760-505-2516
Fax Number	:

Provider Business Practice Location Address
First Line	:	3181 PINTAIL DR
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86406-5543
Country	:	US
Telephone Number	:	760-505-2516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2019
Last Update Date	:	09/27/2019

Similar Medicare Providers

1235792573 — CINDY VEGA
Practice Location Address:

3737 W 4100 S
SALT LAKE CITY, UT
84120-5543

Practice Phone: 888-949-4864
Practice Fax:

1457097677 — EMMA SULLIVAN
Practice Location Address:

3737 W 4100 S
SALT LAKE CITY, UT
84120-5543

Practice Phone: 888-949-4864
Practice Fax:

1306626817 — LAURA HALES CSW
Practice Location Address:

3737 W 4100 S
SALT LAKE CITY, UT
84120-5543

Practice Phone: 888-949-4864
Practice Fax:

1134495575 — SAMIRA SHAHNAZ
Practice Location Address:

3375 LAKE AUSTIN BLVD APT C
AUSTIN, TX
78703-5543

Practice Phone: 512-284-0670
Practice Fax:

1598149387 — QUEEN COMFORT CARE CENTER
Practice Location Address:

6534 MCLENNAN AVE
LAKE BALBOA, CA
91406-5543

Practice Phone: 818-616-1761
Practice Fax:

1740142439 — HIGH PLAINS HOME CARE INC
Practice Location Address:

5543 LAKE GULCH RD
CASTLE ROCK, CO
80104-9726

Practice Phone: 650-776-4761
Practice Fax:

Directions to “ KEVIN EUGENE KEOUGH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.