Keegan, Kimberly Elaine

Keegan, Kimberly Elaine is an sole proprietor health care provider with primary practice located at 12813 Flushing Meadows Dr Ste 140 , Saint Louis MO 63131-1835. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Keegan, Kimberly Elaine can be contacted via phone (314) 504-5515.

Contact Information

Primary practice address
12813 Flushing Meadows Dr Ste 140 Saint Louis MO 63131-1835
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000219 Missouri

Profile Details

NPI number 1821069808
LBN Legal business name Keegan, Kimberly Elaine
Credentials M.S., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Jul 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821069808 NPPES
Missouri Other 431539621 TAX IDENTIFICATION NUMBER

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