Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 00339 | KY |
N | 213EP1101X | Primary Podiatric Medicine | SC005780 | PA |
Y | 213ES0103X | Foot & Ankle Surgery | 1006 | NV |
NPI | 1598818296 |
---|---|
Provider Name | Keith Card |
First Address | Carson City, NV 89705-7255 |
Second Address | Carson City, NV 89705-7255 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 20/07/2021 |