KEYSTONE MEDICAL NPI 1629716048

NPI Information

NPI: 1629716048
Provider Name: KEYSTONE MEDICAL
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1427 S STATE ST
OREM, UT
ZIP 84097
Phone: (801) 358-8198
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KEYSTONE MEDICAL is a primary care nurse practitioner in Orem, UT. KEYSTONE MEDICAL NPI is 1629716048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1427 S STATE ST
OREM, UT
ZIP 84097
Phone: (801) 358-8198

The provider's authorized official is Jeffry Curtis Brown .
The authorized official title is Owner and has the following contact phone number (801) 358-8198.

The enumeration date for this NPI number is 5/25/2022 and was last updated on 5/25/2022.

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	363LP2300X	Nurse Practitioner	Primary Care			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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