KEELAN SHAW CONNELLY
Student in an Organized Health Care Education/Training Program

Address: 650 S Town Center Dr Apt 1018, Las Vegas, NV 89144-4421

KEELAN SHAW CONNELLY (NPI# 1891384525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891384525
Entity Type Individual
Full Name KEELAN SHAW CONNELLY
Gender Female
Practice Address 650 S Town Center Dr Apt 1018
Las Vegas
NV 89144-4421
Practice Telephone 9163356236
Mailing Address 650 S Town Center Dr Apt 1018
Las Vegas
NV 89144-4421
Mailing Telephone 9163356236
Certification Date 2021-01-17
Enumeration Date 2021-01-17
Last Update Date 2021-01-17
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 650 S TOWN CENTER DR APT 1018
City LAS VEGAS
State NV
Zip Code 89144-4421

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1033609599 Anila Naz Technician · Personal Care Attendant 1529 Waterton Drive, Las Vegas, NV 89144 2018-05-10
1467987487 Judith L. Tan Nurse Practitioner · Gerontology Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 2017-04-27
1871049437 Derek Anthony Smith Physical Therapist 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 2016-09-01
1619324662 Sydney Spoon Dietitian, Registered 624 Canyon Greens Dr, Las Vegas, NV 89144 2016-05-19
1629455985 Md24 Nv, Inc. Nurse Practitioner 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 2015-05-06
1053652628 Melvin Lackey Jr. Behavior Analyst 10708 Esk Dr, Las Vegas, NV 89144 2013-03-07
1740445667 Jaydee R. Lumbad Family Medicine 1111 N Town Center Drive, Las Vegas, NV 89144 2008-07-21
1700053824 Samim Enayat Internal Medicine · Endocrinology, Diabetes & Metabolism 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 2008-05-08
1629252457 Edmund Reyes Goroza Pediatrics 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 2007-12-28
1730375262 H.l.greenberg M.d., Ltd. · Las Vegas Dermatology Clinic/Center · Medical Specialty 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 2007-09-18
Find all providers in zip 89144

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346832110 Judith Cherotich Leitich 2954 Majestic Heights Ct, Las Vegas, NV 89117-2582 2021-02-03
1578153706 Marisela Perez 6424 Moonglow Dr, Las Vegas, NV 89156-7018 2021-01-21
1710591110 Jessica Celestino 6167 Allen Cove Ct, Las Vegas, NV 89148-1799 2020-09-02
1972127314 Toyokazu Endo 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102-2227 2020-06-01
1962025775 William Taylor Gravley 1510 Ruby Cliffs Ln Unit 204, Las Vegas, NV 89144-7015 2020-05-27
1477174449 Vishnu Halthore 2152 Turquoise Ridge St Unit 205, Las Vegas, NV 89117-5972 2020-05-01
1417576869 Jesus Mendez Jr. · Jesus Mendez 10962 Pentland Downs St, Las Vegas, NV 89141-3997 2020-04-15
1124657333 Daniel Gerardo Arias 700 Shadow Ln Ste 400, Las Vegas, NV 89106-4159 2020-04-08
1659900959 Connor Wayman 6655 S Cimarron Rd, Las Vegas, NV 89113-2180 2020-04-07
1457988537 Wesley Washington Yim 657 N Town Center Dr Ofc, Las Vegas, NV 89144-6367 2020-03-26
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
Zip Code 89144

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.