Individual
KEATON DARBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 E CRAIG RD, 1042, NORTH LAS VEGAS, NV 89030-7564
(702) 573-8216
Mailing address
4201 E CRAIG RD, 1042, NORTH LAS VEGAS, NV 89030-7564
(702) 573-8216
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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