Organization
KEITH A KOHORST OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH ANDREW KOHORST OD (OPTOMETRIST)
(702) 456-1882
Entity
Organization
Contact information
Practice address
2480 E TOMPKINS AVE, STE #101, LAS VEGAS, NV 89121
(702) 456-1882
(702) 456-6083
Mailing address
2480 E TOMPKINS AVE, STE #101, LAS VEGAS, NV 89121
(702) 456-1882
(702) 456-6083
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD253
NV
Other
Enumeration date
03/08/2007
Last updated
07/08/2008
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