Katherine A Keeley
Oral & Maxillofacial Surgeon
2649 Wigwam Pkwy Suite 102
Henderson
, Nevada 89074-7310
Katherine A Keeley
Oral & Maxillofacial Surgeon
2649 Wigwam Pkwy Suite 102
Henderson
, Nevada 89074-7310
(702) 263-9339
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Katherine A Keeley
- 2649 Wigwam Pkwy #102
- Henderson, NV
- Zip : 89074-7310
- Phone : (702) 263-9339
Second Address
- Katherine A Keeley
- 2649 Wigwam Pkwy Suite 102
- Henderson, NV
- Zip : 89074-7310
- Phone : (702) 263-9339
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 152681 | MA |
National Provider Identifier
| NPI | 1174570816 |
|---|---|
| Provider Name | Katherine A Keeley |
| First Address | Henderson, NV 89074-7310 |
| Second Address | Henderson, NV 89074-7310 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.