Individual
KEITH WILLIAM KOTECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7455 W WASHINGTON AVE STE 160, LAS VEGAS, NV 89128-4356
(702) 878-0393
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-8436
(702) 388-8431
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS022625
PA
Other
Enumeration date
05/09/2018
Last updated
03/05/2025
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