Individual provider · Type 1 NPI

Keegan Summers

Student in an Organized Health Care Education/Training Program · Midvale, UT

NPI number 1235619974 Active

Practice location

195 W 7200 S
Midvale, UT 84047-3703

Call (888) 949-4864 Map

Mailing address

4460 S Highland Dr
Salt Lake City, UT 84124-3543

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1235619974

Keegan Summers's National Provider Identifier is 1235619974, issued on Aug 21, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Midvale, UT. The record was last updated on Aug 21, 2018.