Individual
MARY KIEPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2810 S JONES BLVD, STE 1, LAS VEGAS, NV 89146-5649
(702) 873-1899
(702) 873-7476
Mailing address
2810 S JONES BLVD, STE 1, LAS VEGAS, NV 89146-5649
(702) 873-1899
(702) 873-7476
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10561
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501822
—
NV
05
—
100501918
—
NV
Enumeration date
06/08/2005
Last updated
07/17/2012
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