John Allen Keough, MA is a
Psychologist based in Butler, Missouri. John Allen Keough is licensed to practice in Missouri (license number 01651) and his current practice location is
Rr 4 Box 658, Butler, Missouri. He can be reached at his office (for appointments etc.) via phone at
(660) 679-4421.
NPI number for John Allen Keough is 1164643581 and his current mailing address is Rr 4 Box 658, Po Box 472, Butler, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164643581.
Healthcare Provider's Profile
| Full Name | John Allen Keough |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | Rr 4 Box 658, Butler, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164643581
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for John Allen Keough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164643581 | NPI | - | NPPES |
| 0031336 | Other | MO | DDS VENDOR NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 01651 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Allen Keough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Allen Keough, MA
Rr 4 Box 658, Po Box 472,
Butler, MO 64730-9458
Ph: (660) 679-4421 | John Allen Keough, MA
Rr 4 Box 658,
Butler, MO 64730-9458
Ph: (660) 679-4421 |
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