Individual
BRADLEY KEEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4610 W 9980 N, CEDAR HILLS, UT 84062-8728
(801) 636-0674
(801) 636-0674
Mailing address
4610 W 9980 N, CEDAR HILLS, UT 84062-8728
(801) 636-0674
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7667842-4405
UT
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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