Keith Wayne Sheely, RN
Registered Nurse in Gallup, NM. Individual provider (NPI-1).
NPI number1043710130
StatusActive
Last updated in NPPESFeb 15, 2018
Details
- NPI
- 1043710130
- Entity type
- Individual (NPI-1)
- Name
- Keith Wayne Sheely
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2018
- Last updated
- Feb 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 2016006265 | MO | Yes |
Practice location
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1790
Mailing address
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1790
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