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Katherine A. Keeley, MD, PC

Oral & Maxillofacial Surgery in Henderson, NV. Organization (NPI-2).

NPI number1275902504
StatusActive
Last updated in NPPESSep 16, 2015

Details

NPI
1275902504
Entity type
Organization (NPI-2)
Legal business name
Katherine A. Keeley, MD, PC
Organization subpart
No
Enumeration date
Sep 16, 2015
Last updated
Sep 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
204E00000X Oral & Maxillofacial Surgery––Yes
1223S0112X Dentist, Oral and Maxillofacial Surgery––

Practice location

2649 Wigwam Pkwy Ste 102
Henderson, NV 89074-7310

Phone 702-263-9339 · Fax 702-263-8556

Mailing address

2649 Wigwam Pkwy Ste 102
Henderson, NV 89074-7310

Phone 702-263-9339 · Fax 702-263-8556

Authorized official

Katherine A. Keeley
Owner/Provider
7022639339

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Other Oral & Maxillofacial Surgery (D.M.D.) providers in Henderson, NV

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