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Keegan Summers
Student in an Organized Health Care Education/Training Program in Midvale, Utah
NPI 1235619974

Keegan Summers is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. Keegan Summers practices in Midvale, UT. The NPI Number for Keegan Summers is 1235619974 and holds a License No. (Utah).

The current practice location address for Keegan Summers is 195 W 7200 S, Midvale, UT and can be reached out via phone at 888-949-4864. You can also correspond with Keegan Summers through the mailing address at 4460 S HIGHLAND DR, SALT LAKE CITY, UT - 84124-3543 (mailing address contact number: ).

Location: 195 W 7200 S, Midvale, UT, 84124-3543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235619974
Provider Name
Keegan Summers
Credential
Provider Entity Type
Individual
Gender
Male
Address
195 W 7200 S, Midvale, UT, 84124-3543
Phone Number
888-949-4864
Fax Number
Provider Enumeration Date
08/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
195 W 7200 S
City
Midvale
State
Utah
Zip
84047-3703
Phone Number
888-949-4864
Fax Number
person
Provider Business Mailing Address Details
Address
195 W 7200 S
City
Midvale
State
Utah
Zip
84047-3703
Phone Number
888-949-4864
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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