| Doctor Name: | DR. KEVIN THOMAS KEEGAN |
| NPI Number: | 1134211519 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.C. |
| License Number: | 053 |
| Business Practice Address: | 990 Main St. Suite 3 East Greenwich, RI - 02818 |
| Business Phone Number: | 4018857992 |
| Business Fax Number: | |
| Mailing Address: | 990 Main St., Suite 3 EAST GREENWICH |
| State: | RI |
| Postal Code: | 02818 |
| Phone Number: | 4018857992 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2006 |
| NPI Last Update Date: | 11/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 053 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |