Provider Demographics
NPI:1669341251
Name:MCKEEVER, SETH L
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:L
Last Name:MCKEEVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6308 COYOTE VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-2006
Mailing Address - Country:US
Mailing Address - Phone:415-515-2528
Mailing Address - Fax:
Practice Address - Street 1:6308 COYOTE VALLEY CT
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-2006
Practice Address - Country:US
Practice Address - Phone:415-515-2528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-01
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPRSS-INT-5336175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist