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RICHARD DOUGLAS KILLPACK
NPI 1316539653
Peer Specialist in Provo, UT

Active since February 08, 2021
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Douglas Killpack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD DOUGLAS KILLPACK (NPI 1316539653) is an individual peer specialist in Provo, Utah and active in the NPI registry since February 2021. He maintains a secondary practice location in Park City.

NPPES Registry Identity

NPI1316539653
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRICHARD DOUGLAS KILLPACK
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760
Phone(801) 373-4760
Sole ProprietorNo
Enumeration DateFebruary 8, 2021
NPPES CertifiedFebruary 8, 2021
✔ NPI 1316539653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
750 N FREEDOM BLVD, Provo, UT 84601
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Secondary Practice Location 1

Location 11885 Ute BlvdPark City, UT 84098-7680 · Phone (385) 447-3521

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZA RACHELLE GEDGE PH.D., LP
Psychologist (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-0639
WASATCH MENTAL HEALTH
Clinic/Center (Adolescent and Children Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
JUSTINE CADAYONG EGGLESTON
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
SARAH FARIA
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
MEGAN NICHOLS
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
VICTORIA RYALS
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
KAMERYA HANOHANO
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
ALLISON RAMIREZ
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Killpack's NPI number?

The NPI number for Richard Killpack is 1316539653. It was assigned to this individual provider in the NPPES registry on February 8, 2021.

Where is Richard Killpack located?

Richard Killpack practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Richard Killpack's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Richard Killpack was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.