Jefferson Keyes
Individual provider Active NPI Speech-Language Pathologist · Fallon, NV
NPI 1134566987 · NPPES record last updated Jun 3, 2013
Key facts
- NPI
- 1134566987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1387 (NV)
- Practice address
- 550 N Sherman St
Fallon, NV 89406-3488 - Phone
- (775) 423-7800
- NPI assigned
- Jun 3, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1387 | NV | MD | Orthopedic Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1387 | NV | Yes |
Addresses
Primary practice location
550 N Sherman St
Fallon, NV 89406-3488
Mailing address
3034 Chilcoot Dr
Sparks, NV 89434-1794
Other providers in Fallon, NV
- Misty Kasky
- Ryan J Kasky
- Kay Riehm LCSW
- Sharon Keller
- Rachel Kent
- Dong-Young Kim
- Esther Elizabeth King
- Lynn Kinsell
- Amanda L Knapp
- Joseph Knapp
All providers in Fallon, NV · Speech-Language Pathologist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.