Provider Type Icon

KEVIN R DUKE DO PC NPI 1003001959

NPI Profile

NPI: 1003001959
Provider Name: KEVIN R DUKE, DO, PC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
382 W 280 N
PROVIDENCE, UT
ZIP 84332
Get Directions

Phone: (435) 752-0330

KEVIN R DUKE, DO, PC is a healthcare provider in Providence, UT. KEVIN R DUKE, DO, PC NPI is 1003001959. The provider is registered as an organization entity type.

The provider's business location address is:

382 W 280 N
PROVIDENCE, UT
ZIP 84332-609
Phone: (435) 752-0330
Fax: (435) 755-0922

The provider's authorized official is Kevin R Duke .
The authorized official title is Owner and has the following contact phone number (435) 752-0330.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 12/2/2011.

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
1261QH0100XClinic/CenterHealth Service290545-1204UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000057025MEDICARE PINUTAH
2H67056MEDICARE UPINUTAH

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: 9/8/2019

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.