Provider Demographics
NPI:1245024843
Name:KEEGAN, SADIE JANE
Entity type:Individual
Prefix:
First Name:SADIE
Middle Name:JANE
Last Name:KEEGAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 S MINNESOTA AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-6369
Mailing Address - Country:US
Mailing Address - Phone:605-610-5879
Mailing Address - Fax:
Practice Address - Street 1:230 S MINNESOTA AVE APT 206
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-6369
Practice Address - Country:US
Practice Address - Phone:605-610-5879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula