Kiepert, Mary
Kiepert, Mary is an individual health care provider with primary practice located at 2810 S Jones Blvd Ste 1, Las Vegas NV 89146-5649. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kiepert, Mary can be contacted via phone (702) 873-1899.Contact Information
Primary practice address
2810 S Jones Blvd Ste 1
Las Vegas NV 89146-5649
Phone: (702) 873-1899
Fax: (702) 873-7476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10561 | Nevada |
Profile Details
| NPI number | 1235133224 |
|---|---|
| LBN Legal business name | Kiepert, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jul 17th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235133224 | NPPES |
| Nevada | MEDICAID | 100501822 | |
| Nevada | MEDICAID | 100501918 |
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