IndividualActive
Kevin Keough
NPI 1396396586 · Attendant Care Provider · Lake Havasu City, AZ
Provider details
- NPI number
- 1396396586
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
3181 Pintail Dr
Lake Havasu City, AZ 86406-5543
Phone: (760) 505-2516
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Pintail Dr
Lake Havasu City, AZ 86406-5543
Registry dates
- Enumerated
- 2019-09-27
- Last updated
- 2019-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.