Organization
KEVIN R DUKE, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN R DUKE D.O. (OWNER)
(435) 752-0330
Entity
Organization
Contact information
Practice address
382 W 280 N, PROVIDENCE, UT 84332-0609
(435) 752-0330
(435) 755-0922
Mailing address
PO BOX 609, PROVIDENCE, UT 84332-0609
(435) 752-0330
(435) 755-0922
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
290545-1204
UT
Other
Enumeration date
09/12/2007
Last updated
12/02/2011
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