Individual
DR. KEVIN R DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
382 W 280 N, PROVIDENCE, UT 84332-0609
(435) 752-0330
(435) 755-0922
Mailing address
1219 N 400 E, NORTH LOGAN, UT 84341-2321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
290545-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003001959
CORP NPI
UT
Enumeration date
02/23/2006
Last updated
05/11/2021
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