NPI 1003001959

Kevin R Duke, DO, PC

Organisation Health Service Clinic/Center Providence, UT

Practice location

Address: 382 W 280 N, Providence, UT 84332-0609
Phone: (435) 752-0330
Fax: (435) 755-0922
Mailing address: PO Box 609, Providence, UT 84332-0609

Authorised official

Name: Kevin R Duke
Title: Owner
Phone: (435) 752-0330

Registered specialties

Health Service Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QH0100X Licence 290545-1204 (UT)

Other Clinic/Center providers in Utah →

Registry record

NPI: 1003001959
Entity type: Organization
NPI issued: 12 Sep 2007
Record last updated: 2 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.