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Individual

MR. DAVID JOE KEAHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
461 S 400 E, SALT LAKE CITY, UT 84111-3302
(801) 539-8634
Mailing address
1705 E 4620 S, SALT LAKE CITY, UT 84117-5003
(801) 277-4192

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101527-1206
UT

Other

Enumeration date
12/22/2005
Last updated
12/04/2017
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