Provider Demographics
NPI:1104337260
Name:KEEGAN, SARAH SUE (RD, LMNT, CDE)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:SUE
Last Name:KEEGAN
Suffix:
Gender:F
Credentials:RD, LMNT, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84960 CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:NELIGH
Mailing Address - State:NE
Mailing Address - Zip Code:68756-5000
Mailing Address - Country:US
Mailing Address - Phone:402-660-2099
Mailing Address - Fax:
Practice Address - Street 1:84960 CEMETERY RD
Practice Address - Street 2:
Practice Address - City:NELIGH
Practice Address - State:NE
Practice Address - Zip Code:68756-5000
Practice Address - Country:US
Practice Address - Phone:402-660-2099
Practice Address - Fax:402-660-2099
Is Sole Proprietor?:No
Enumeration Date:2017-10-17
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1707225700000X
NE1012452133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist