Individual provider · Type 1 NPI

Kyle Reaveley, DO

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1306794623 Active

Practice location

1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNONE (UT)

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 1306794623

Kyle Reaveley, DO's National Provider Identifier is 1306794623, issued on Mar 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 20, 2026.