Individual
KEITH J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8113 CRIMSON CREEK CT, LAS VEGAS, NV 89139-6909
(702) 612-8500
Mailing address
8113 CRIMSON CREEK CT, LAS VEGAS, NV 89139-6909
(702) 612-8500
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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