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Individual

KEESHA PAMELA PIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2650 N TENAYA WAY STE 208, LAS VEGAS, NV 89128-1104
(702) 360-2100
(027) 990-4808
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1226
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1090911
NCCPA
NV
Enumeration date
08/31/2010
Last updated
01/07/2025
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