Organization
MITCHELL F KEAMY III MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY V SMITH (ADMINISTRATOR)
(702) 395-1872
Entity
Organization
Contact information
Practice address
1710 WALDMAN AVE, LAS VEGAS, NV 89102-2451
(702) 612-7125
(702) 383-0773
Mailing address
PO BOX 33121, LAS VEGAS, NV 89133-3121
(702) 612-7125
(702) 383-0773
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5653
NV
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
5653
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504191
—
NV
Enumeration date
03/05/2010
Last updated
03/05/2010
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