Gabriel Eduardo Keogan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11868 Issued in NC

Practice address

4107 Palladium Dr
Greensboro, NC 27410-9102

Phone

(925) 914-9692

NPI assigned

Jun 9, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1235542127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 PALLADIUM DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109102",
            "telephone_number": "925-914-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 PALLADIUM DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109102",
            "telephone_number": "925-914-9692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087018",
            "country_code": "US",
            "telephone_number": "336-370-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Eastchester Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627647",
            "country_code": "US",
            "telephone_number": "336-323-8285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEOGAN",
        "first_name": "GABRIEL",
        "middle_name": "EDUARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Kennedy, LMBT
• Susan Dana Kennedy, REV
• Amanda Kennelly
• Kenneth J Headen MD PA
• Amber Mabe Kent, L. AC.
• Katie Marie Kepley
• Mercedes Sky Kepley
• Ruth Kellam Kerley, LCSW
• Karen Stacey Kern, NCC, LPC
• Shaina Sumney Kernodle, MA, CCC-SLP

• Speech-Language Pathologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.