KEVIN R DUKE, DO, PC NPI 1003001959

Clinic/Center (Health Service) in Providence, UT

About KEVIN R DUKE, DO, PC

Kevin R Duke, Do, Pc is a provider in Providence, UT. The NPI number assigned to this provider is 1003001959. The practitioner's primary taxonomy code is Clinic/Center (261QH0100X). The provider is registered as an organization and their NPI record was last updated 7 years ago.

NPI

1003001959

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameKEVIN R DUKE, DO, PC
Provider Location Address382 W 280 N PROVIDENCE, UT 84332 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 609 PROVIDENCE, UT 84332 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-12-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-02-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

KEVIN R DUKE, DO, PC
382 W 280 N
PROVIDENCE, UT
ZIP 84332
Phone: (435) 752-0330
Fax: (435) 755-0922
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Mailing Address

KEVIN R DUKE, DO, PC
PO BOX 609
PROVIDENCE, UT
ZIP 84332
Phone: (435) 752-0330
Fax: (435) 755-0922

Primary Taxonomy

Taxonomy Code261QH0100X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationHealth Service
License No.290545-1204
License StateUT

Authorized Official

Authorized Official NameDR. KEVIN R DUKE D.O. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER
Authorized Official Phone(435) 752-0330

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000057025MEDICARE PIN (08)UT
H67056MEDICARE UPIN (02)UT

Map Location


KEVIN R DUKE, DO, PC address is 382 W 280 N PROVIDENCE, UT 84332

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003882713DR. KEVIN R DUKE D.O.
Individual
Family Medicine382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
1093154031JAMES DENNIS MATHEWS, D.O., P.C.
Organization
Clinic/Center (Health Service)382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
1497721195DR. LARS BERGESON M.D.
Individual
Family Medicine382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
1790739449DR. RICHARD T STEVENS M.D.
Individual
Family Medicine382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
1982933750LARS BERGESON, M.D., PC
Organization
Point of Service382 W 280 N
PROVIDENCE, UT 84332
(435) 752-0330
Previous NPI
1003001942
Next NPI
1003001967