Individual
CLAYTON DENNING KILLPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9660 S 1300 E, SANDY, UT 84094-3762
(801) 993-9582
(801) 733-5618
Mailing address
2975 EXECUTIVE PKWY, 200, LEHI, UT 84043-9642
(801) 990-1911
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
115334
MT
207L00000X
Anesthesiology Physician
Primary
4979083-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503296
—
NV
01
—
107027653101
IHC
UT
05
—
119676600
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
49790831200001
BCBS
UT
01
—
77516
PEHP
UT
05
—
806874300
—
ID
01
—
826031
HEALTHY U
UT
01
—
850808
DESERET MUTUAL
UT
05
—
859647
—
AZ
01
—
870545614KIL
EDUCATORS MUTUAL
UT
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA09320
MOLINA
UT
Enumeration date
09/01/2006
Last updated
09/08/2022
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