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Organization
KATHERINE A. KEELEY, MD, PC
Active
Organization
KATHERINE A. KEELEY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE A. KEELEY M.D. (OWNER/PROVIDER)
(702) 263-9339
Entity
Organization
Contact information
Practice address
2649 WIGWAM PKWY STE 102, HENDERSON, NV 89074-7310
(702) 263-9339
(702) 263-8556
Mailing address
2649 WIGWAM PKWY STE 102, HENDERSON, NV 89074-7310
(702) 263-9339
(702) 263-8556
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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