# KATHERINE A. KEELEY, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275902504
- **Authorized official:** KATHERINE A. KEELEY M.D. (OWNER/PROVIDER)
- **Authorized official phone:** (702) 263-9339

## Contact information

- **Practice address:** 2649 WIGWAM PKWY STE 102, HENDERSON, NV 89074-7310
- **Practice address phone:** (702) 263-9339
- **Practice address fax:** (702) 263-8556
- **Mailing address:** 2649 WIGWAM PKWY STE 102, HENDERSON, NV 89074-7310
- **Mailing address phone:** (702) 263-9339
- **Mailing address fax:** (702) 263-8556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2015
- **Last updated:** 09/16/2015