MEDICARE: AMBER KEYES

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1538830039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER KEYES

Provider Business Mailing Address
First Line	:	1771 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5155
Country	:	US
Telephone Number	:	702-560-2191
Fax Number	:

Provider Business Practice Location Address
First Line	:	6275 BOULDER HWY APT 1075
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-7695
Country	:	US
Telephone Number	:	424-232-9066
Fax Number	:

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

Provider Enumeration Date	:	09/23/2021
Last Update Date	:	09/23/2021

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Directions to “ AMBER KEYES ” Practice Location

Language	Start Address	Practice Location

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