Kevin R Duke, Do, Pc

NPI 1003001959 - Clinic/Center - 261QH0100X

NPI Details
NPI 1003001959
Enumeration Date 09/12/2007
Last Updated 12/02/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEVIN R KEVIN
Position OWNER
Phone (435) 752-0330
Fax (435) 755-0922
Practice Location
382 W 280 N
PROVIDENCE UT, 84332-0609, US
Phone (435) 752-0330
Fax (435) 755-0922
Business Location
PO BOX 609
PROVIDENCE UT, 84332-0609, US
Phone (435) 752-0330
Fax (435) 755-0922
Toxanomy
Taxonomy Code 261QH0100X
License State Utah
License Number 290545-1204
Remove 1003001959 NPI Number
 

According to our database, Kevin R Duke, Do, Pc NPI is 1003001959, taxonomy code is 261QH0100X and license number is 290545-1204, license state is located at Utah. Kevin R Duke, Do, Pc physically located at 382 W 280 N, Providence UT, 84332-0609. NPI Number 1033115704 has the healthcare provider type.

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1003001959 NPI number is provided on an as is basis without warranty of any kind. 1003001959 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin R Duke, Do, Pc are for informational purposes only.