Individual provider · Type 1 NPI

Richard Douglas Killpack

Peer Specialist · Provo, UT

NPI number 1316539653 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Other practice locations

  • 1885 Ute Blvd, Park City, UT 84098-7680 · (385) 447-3521

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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.

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About NPI 1316539653

Richard Douglas Killpack's National Provider Identifier is 1316539653, issued on Feb 8, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Provo, UT. The record was last updated on Feb 8, 2021.