National Provider Identifier Database

KATHERINE A KEELEY MD PC
Oral & Maxillofacial Surgery


Contact Information

KATHERINE A. KEELEY, MD, PC
2649 WIGWAM PKWY STE 102
HENDERSON, NV89074-7310
Phone: 702-263-9339
Fax: 702-263-8556
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Surgery 1223S0112X

* Indicates primary specialty

NPI Profile & details for KATHERINE A. KEELEY, MD, PC

NPI Number 1275902504
Legal business name
LBN
KATHERINE A. KEELEY, MD, PC
Authorized official KATHERINE KEELEY - (OWNER/PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 09/16/2015
Last updated 09/16/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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