NPI 1003892837

David Joe Keahey, PAC

Practitioner Medical Physician Assistant Salt Lake City, UT

Practice location

Address: 461 S 400 E, Salt Lake City, UT 84111-3302
Phone: (801) 539-8634
Mailing address: 1705 E 4620 S, Salt Lake City, UT 84117-5003

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 101527-1206 (UT)

Other Physician Assistant providers in Utah →

Registry record

NPI: 1003892837
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2005
Record last updated: 4 Dec 2017

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.