| Katherine A. Keeley, Md, Pc | |
|
2649 Wigwam Pkwy Ste 102 Henderson NV 89074-7310 | |
| (702) 263-9339 | |
| (702) 263-8556 |
| Full Name | Katherine A. Keeley, Md, Pc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 2649 Wigwam Pkwy Ste 102, Henderson, Nevada |
| Authorized Official Name and Position | Katherine A. Keeley (OWNER/PROVIDER) |
| Authorized Official Contact | 7022639339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine A. Keeley, Md, Pc 2649 Wigwam Pkwy Ste 102 Henderson NV 89074-7310 Ph: (702) 263-9339 | Katherine A. Keeley, Md, Pc 2649 Wigwam Pkwy Ste 102 Henderson NV 89074-7310 Ph: (702) 263-9339 |
| NPI Number | 1275902504 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275902504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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