MEDICARE: SETH L MCKEEVER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist	PRSS-INT-5336	NV

General Provider Information

NPI Number	:	1669341251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETH L MCKEEVER

Provider Business Mailing Address
First Line	:	6308 COYOTE VALLEY CT
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89084-2006
Country	:	US
Telephone Number	:	415-515-2528
Fax Number	:

Provider Business Practice Location Address
First Line	:	6308 COYOTE VALLEY CT
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89084-2006
Country	:	US
Telephone Number	:	415-515-2528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2025
Last Update Date	:	11/01/2025

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Directions to “ SETH L MCKEEVER ” Practice Location

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