IndividualActive
Stacey Kehoe
NPI 1487721668 · Personal Care Attendant · Johnson, MN
Provider details
- NPI number
- 1487721668
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 3747P1801X (MN)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
308 2nd Ave
Johnson, MN 56236-2105
Phone: (320) 305-0856
Approximate (ZIP-level) locationGet directions
Mailing address
308 2nd Ave
Johnson, MN 56236-2105
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.