Individual
KEITH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 815-1550
Mailing address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 815-1550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
CA830957
CA
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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