Organization
KEY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN NEWSOM (MANAGING MEMBER)
(801) 266-3220
Entity
Organization
Contact information
Practice address
5796 S 900 E, SALT LAKE CITY, UT 84121-1036
(801) 266-3220
(800) 927-7197
Mailing address
5796 S 900 E, SALT LAKE CITY, UT 84121-1036
(801) 266-3220
(800) 927-7197
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95640500000001
BCBS PROVIDER NUMBER
UT
Enumeration date
03/20/2007
Last updated
08/22/2020
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