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NPI Code Detail

MEDICARE: D KEITH KLEVEN LTD

MEDICARE: D KEITH KLEVEN LTD
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
1261QP2000XPhysical Therapy Clinic/Center1013335-320NV

General Provider Information

NPI Number : 1326256850
Entity Type Code : Organization
Provider Name (Legal Business Name) : D KEITH KLEVEN LTD
Provider Business Mailing Address
First Line : 3820 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-2454
Country : US
Telephone Number : 702-731-0831
Fax Number : 702-737-9697
Provider Business Practice Location Address
First Line : 3820 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-2454
Country : US
Telephone Number : 702-731-0831
Fax Number : 702-737-9697
Authorized Official
Title or Position : OWNER, DIRECTOR
Name : MR. DAVID KEITH KLEVEN
Credential : MSPT, LATC
Telephone Number : 702-731-0831
Provider Enumeration Date : 05/18/2007
Last Update Date : 08/22/2020

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