MEDICARE: LATASHA KEYS

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	171M00000X	Case Manager/Care Coordinator		NV

General Provider Information

NPI Number	:	1215358759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATASHA KEYS

Provider Business Mailing Address
First Line	:	1485 W WARM SPRINGS RD
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-7631
Country	:	US
Telephone Number	:	725-274-3978
Fax Number	:

Provider Business Practice Location Address
First Line	:	1485 W WARM SPRINGS RD STE 109
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-7632
Country	:	US
Telephone Number	:	702-486-5301
Fax Number	:

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

Provider Enumeration Date	:	12/31/2013
Last Update Date	:	04/03/2026

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Directions to “ LATASHA KEYS ” Practice Location

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