Kimberly A Keough is a Clinical in Oakland, California. Kimberly A Keough practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberly A Keough is 1952570855. The last update date is 2008-02-25.
Kimberly A Keough's current location address is 5665 College Ave Ste 220c, Oakland, California. You can contact this provider via phone number 5106196143. The mailing address for Kimberly A Keough is 5665 College Ave Ste 220c, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly A Keough |
|---|---|
| Address | 5665 College Ave Ste 220c, Oakland, California |
| Phone Number | 5106196143 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1952570855 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
| Address | 5665 College Ave Ste 220c |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946181638 |
| Phone Number | 5106196143 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 21514 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Kimberly A Keough by the Centers for Medicare & Medicaid Services?
The Kimberly A Keough has been issued the NPI (National Provider Identifier) 1952570855, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kimberly A Keough is located?
The Kimberly A Keough is situated at the following address: 5665 College Ave Ste 220C, Oakland, CA, 946181638.
What is Kimberly A Keough's area of expertise and its corresponding taxonomy classification?
The Kimberly A Keough's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kimberly A Keough receive the assignment of its 1952570855 from the Centers for Medicare & Medicaid Services?
The Kimberly A Keough was issued its 1952570855 by the Centers for Medicare & Medicaid Services on 2008-02-25.
As of what date were the details related to Kimberly A Keough most recently updated or revised?
The information pertaining to Kimberly A Keough, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-25.