DEBORAH SUE KEYE PAC PHYSICIAN ASSIST NPI 1164559159

NPI Information

NPI: 1164559159
Provider Name: DEBORAH SUE KEYE, PAC PHYSICIAN ASSIST
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4460 S HIGHLAND DR
STE 400
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 272-4111
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Deborah Sue Keye, PAC PHYSICIAN ASSIST is a medical physician assistant in Salt Lake City, UT. Deborah Sue Keye, PAC PHYSICIAN ASSIST NPI is 1164559159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4460 S HIGHLAND DR
STE 400
SALT LAKE CITY, UT
ZIP 84124-543
Phone: (801) 272-4111
Fax: (801) 272-5989

The NPI 1164559159 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 5/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			No
2	363AM0700X	Physician Assistant	Medical	4821539-1206	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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