Kathryn Ann Keogh, PHD, MSN, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

155105 Issued in NC

Practice address

157 Paragon Pkwy
Suite 800
Clyde, NC 28721-9463

Phone

(828) 452-6675

Fax

(828) 356-1115

NPI assigned

Jan 9, 2013

Sex

Female

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

Credentials

Master of Science - Nursing, Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1992042006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WILKINSON PASS LN",
            "address_2": "APT 102",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287868931",
            "telephone_number": "828-452-6675",
            "fax_number": "828-356-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PARAGON PKWY",
            "address_2": "SUITE 800",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219463",
            "telephone_number": "828-452-6675",
            "fax_number": "828-356-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOGH",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "PHD, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NC",
            "license": "155105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Tyler Johnson, DDS
• Patrick Johnson, RN-BC
• Kaya Kaminski
• Kathryn L. Conard, DDS, Ms, PLLC
• Shawn Robert Kennedy, DDS
• Kerry P. Cogburn, DDS, PA
• Susan Cope Kimel, PT
• Gerald W King, MD
• Stephen L Kinser, MD
• Randi Lauren Kinsland-Tatham, M.S. CCCS-SLP

• Administrator Registered Nurse in Clyde, NC
• Providers in Clyde, NC by specialty
• Administrator Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.