NPI Registry.org

Keelan Shaw Connelly

NPI Registration Record

Provider / OrganizationNPIDate Certified
KEELAN SHAW CONNELLY18913845252021-01-17

Keelan Shaw Connelly is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891384525. Registration indicates Keelan Shaw Connelly is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Keelan Shaw Connelly
Practice Office Address650 S TOWN CENTER DR APT 1018
LAS VEGAS, NV US
Practice Office Telephone9163356236
Mailing Address650 S TOWN CENTER DR APT 1018
LAS VEGAS, NV 891444421 US
Business Telephone9163356236
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes
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