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:
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Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235133224 NPPES
Nevada MEDICAID 100501822
Nevada MEDICAID 100501918

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