Individual
KEITH MATHAHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 SHADOW LN, SUITE #165A, LAS VEGAS, NV 89106-4126
(702) 382-8101
(702) 382-0803
Mailing address
700 SHADOW LN, SUITE #165A, LAS VEGAS, NV 89106-4126
(702) 382-8101
(702) 382-0803
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000226
NV
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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