Individual
KEITH A BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 671-5150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19452
NV
208600000X
Surgery Physician
MED-PHYS-LIC-51952
MT
208600000X
Surgery Physician
MT188337
PA
Other
Enumeration date
05/15/2007
Last updated
08/07/2023
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