Katherine a. Keeley, MD, PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

KATHERINE A. KEELEY, MD, PC

Practice address

2649 Wigwam Pkwy Ste 102
Henderson, NV 89074-7310

Phone

(702) 263-9339

Fax

(702) 263-8556

NPI assigned

Sep 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katherine A. Keeley, M.D.

Title

Owner/Provider

Phone

(702) 263-9339

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1275902504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 WIGWAM PKWY STE 102",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747310",
            "telephone_number": "702-263-9339",
            "fax_number": "702-263-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 WIGWAM PKWY STE 102",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747310",
            "telephone_number": "702-263-9339",
            "fax_number": "702-263-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE A. KEELEY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "KEELEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "702-263-9339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmelita Kasilag
• Sidney W Kass, MD
• Angelina Kastner
• John J Kastrup, M.D.
• Burtson Katende, APRN
• Kathleen M. Mahon, MD, LTD.
• Kathy Dale Smith MD PLLC
• Katie Landier Physical Therapy, PLLC
• Donna Katz, MSN,APRN, FNP-BC,OCN
• Franklin A Katz, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Henderson, NV
• Providers in Henderson, NV by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.