Individual
KEITH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 E FLAMINGO RD, LAS VEGAS, NV 89119-5249
(702) 369-4357
Mailing address
1640 E FLAMINGO RD, LAS VEGAS, NV 89119-5249
(702) 369-4357
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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