Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY J KEOGH, MD
ActivePain Medicine (PM&R) · PHENIX CITY, AL
Registration Details
- NPI Number
- 1790779577
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2005 (20.618873718779 yrs)
- Last Updated
- Sep 17, 2019
- License
-
24656 (AL)
Practice Information
- Address
-
3715 HIGHWAY 280-431 NORTHPHENIX CITY, AL, 36867Browse AL providers · Browse ZIP 36867
- Phone
- 2516337211
- Fax
- 2514106079
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
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.