Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Kimberly Keough, MSSPED

Individual provider Early Intervention Provider Agency · NPI 1336663236

MS. Kimberly Keough, MSSPED is an Early Intervention Provider Agency in Elmont, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
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Practice location Address checks out

1311 Appeal Ave
Elmont, NY 11003-3302
Phone: (516) 451-6967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7000 Austin St, Forest Hills, NY 11375-1022 — (718) 762-7633

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X (NY)

Record details

NPI number1336663236
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSPED
Sole proprietorYes
NPI enumeratedAugust 1, 2017
Last updated in NPPESJuly 21, 2022

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