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Mary Keough

Sports Medicine

445 Saint Paul St
North Smithfield , Rhode Island 02896-6865

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Mary Keough

Sports Medicine

445 Saint Paul St
North Smithfield , Rhode Island 02896-6865

(401) 316-8344

Write a Review Save Call

Mary Keough

Sports Medicine

445 Saint Paul St
North Smithfield , Rhode Island 02896-6865

(401) 316-8344 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

445 Saint Paul St North Smithfield , Rhode Island 02896-6865

First Address

  • Mary Keough
  • 47 Hilltop Ave
  • Providence, RI
  • Zip : 02908-2810
  • Phone : (401) 316-8344

Second Address

  • Mary Keough
  • 445 Saint Paul St
  • North Smithfield, RI
  • Zip : 02896-6865
  • Phone : (401) 597-5665

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FAQs


Where did Mary Keough attend graduate school?

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Where did Mary Keough do her residency?

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Where did Mary Keough do her fellowship?

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Is Mary Keough board certified?

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What type of doctor is Mary Keough

Sports Medicine

In what state does Mary Keough practice in?

Rhode Island

Where is Mary Keough ’s practice located?

445 Saint Paul St , North Smithfield, Rhode Island, 02896-6865

What is Mary Keough ’s gender?

Female

Is Mary Keough a sole practitioner?

No

Is Mary Keough accepting new patients?

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What languages does Mary Keough speak?

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Does Mary Keough accept insurance?

Yes, Mary Keough accepts insurance

Does Mary Keough offers telemedicine?

Mary Keough has not indicated if she offers telemedicine

What is Mary Keough ’s professional license number?

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What is Mary Keough ’s NPI number?

1235785239

Does Mary Keough have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine PT03193 RI
Y 213ES0000X Sports Medicine PT03193 RI

National Provider Identifier

NPI 1235785239
Provider Name Mary Keough
First Address Providence, RI 02908-2810
Second Address North Smithfield, RI 02896-6865
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/08/2019
Last Update Date 15/08/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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