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NPI Code Detail

MEDICARE: KESHIA SIHLER PA-C

MEDICARE: KESHIA SIHLER PA-C
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
1363A00000XPhysician AssistantPA1626NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA1626OTHERNVMEDICAL LICENSE

General Provider Information

NPI Number : 1588042345
Entity Type Code : Individual
Provider Name (Legal Business Name) : KESHIA SIHLER PA-C
Provider Business Mailing Address
First Line : 200 S PARK RD STE 200
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8541
Country : US
Telephone Number : 954-923-7440
Fax Number : 954-923-1299
Provider Business Practice Location Address
First Line : 6240 N DURANGO DR STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3941
Country : US
Telephone Number : 954-923-7440
Fax Number : 954-923-1299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2015
Last Update Date : 05/03/2024

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Directions to “ KESHIA SIHLER PA-C” Practice Location

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