Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 239350 | NY |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25MA09245200 | NJ |
NPI | 1205997277 |
---|---|
Provider Name | Dr. Sean Michael Keeler |
First Address | Las Vegas, NV 89148-5506 |
Second Address | Las Vegas, NV 89148-5506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 11/02/2016 |