RICHARD DOUGLAS KILLPACK NPI 1316539653

NPI Information

Richard Douglas Killpack is a peer specialist in Provo, UT. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Richard Douglas Killpack NPI is 1316539653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 N FREEDOM BLVD
PROVO, UT
ZIP 84601-677
Phone: (801) 373-4760

The enumeration date for this NPI number is 2/8/2021 and was last updated on 2/8/2021.

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:

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