Provider Demographics
NPI:1982945150
Name:NAVE, KEITH
Entity type:Individual
Prefix:MR
First Name:KEITH
Middle Name:
Last Name:NAVE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7093 FOREST VISTA ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-4710
Mailing Address - Country:US
Mailing Address - Phone:702-403-8385
Mailing Address - Fax:
Practice Address - Street 1:7093 FOREST VISTA ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-4710
Practice Address - Country:US
Practice Address - Phone:702-403-8385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor