| Doctor Name: | MS. KATHLEEN MARY KEOUGH |
| NPI Number: | 1174558316 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 111122 |
| Business Practice Address: | 40 Wright Street Wing Memorial Hospital Griswold Center Palmer, MA - 01069 |
| Business Phone Number: | 4132845285 |
| Business Fax Number: | 4132845384 |
| Mailing Address: | 40 Wright Street, PALMER |
| State: | MA |
| Postal Code: | 01069 |
| Phone Number: | 4132837651 |
| Fax Number: | 4132845117 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 111122 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |