Individual
DR. KEITH ALLEN BREILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SHADOW LN STE 106, LAS VEGAS, NV 89106-4355
(702) 731-0909
(702) 826-4757
Mailing address
8936 SPANISH RIDGE AVE STE 106, LAS VEGAS, NV 89148-1354
(702) 731-0909
(702) 826-4757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6249
NV
2084P0800X
Psychiatry Physician
Primary
6249
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124193206
—
NV
Enumeration date
11/22/2006
Last updated
10/29/2019
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