DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY KEOUGH

Active

MARY KEOUGH is a Sports Medicine (PM&R) healthcare provider located in NORTH SMITHFIELD, Rhode Island. NPI 1235785239 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · NORTH SMITHFIELD, RI

Registration Details

NPI Number
1235785239
Provider Type
Individual
Gender
Female
NPI Issued
Aug 15, 2019 (7.0363508181818 yrs)
Last Updated
Aug 15, 2019
License
PT03193 (RI)

Practice Information

Address
445 SAINT PAUL ST
NORTH SMITHFIELD, RI, 028966865
Browse RI providers · Browse ZIP 02896
Phone
4015975665
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.