Organization
MARY KIEPERT, MD. LTD
Active
Other names
Tendercare Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KIEPERT MD (PRESIDENT)
(702) 873-1899
Entity
Organization
Contact information
Practice address
2810 S JONES BLVD, SUITE #1, LAS VEGAS, NV 89146-5648
(702) 873-1899
(702) 873-7476
Mailing address
2810 S JONES BLVD, SUITE #1, LAS VEGAS, NV 89146-5648
(702) 873-1899
(702) 873-7476
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10561
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501822
—
NV
05
—
100501918
—
NV
Enumeration date
12/05/2013
Last updated
12/05/2013
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