Katie Marie Haldy Keogh
Pediatric Dentist
120 Oakmont Dr
Greenville
, North Carolina 27858-5936
Katie Marie Haldy Keogh
Pediatric Dentist
120 Oakmont Dr
Greenville
, North Carolina 27858-5936
(303) 552-8120
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Katie Marie Haldy Keogh
- 912 Nottingham Rd
- Greenville, NC
- Zip : 27858-6251
- Phone : (303) 552-8120
Second Address
- Katie Marie Haldy Keogh
- 120 Oakmont Dr
- Greenville, NC
- Zip : 27858-5936
- Phone : (252) 756-7789
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 11209 | NC |
National Provider Identifier
| NPI | 1043446123 |
|---|---|
| Provider Name | Katie Marie Haldy Keogh |
| First Address | Greenville, NC 27858-6251 |
| Second Address | Greenville, NC 27858-5936 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2009 |
| Last Update Date | 14/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.