Individual
JAEMI KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6064 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5350
(702) 940-8007
(702) 832-1940
Mailing address
6064 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5350
(702) 940-8007
(702) 832-1940
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
16028
NV
207L00000X
Anesthesiology Physician
43285
AZ
207L00000X
Anesthesiology Physician
49547
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
16028
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215145792
—
NV
Enumeration date
05/18/2007
Last updated
04/18/2024
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