Individual
KEITH W ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 N STATE ST, MORGAN, UT 84050-9919
(801) 829-3426
(801) 829-3135
Mailing address
PO BOX 405714, ATLANTA, GA 30384-5714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48740
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326349135
CMH SB NPI
WI
01
—
1467583096
CMH PCC OF NPI
WI
01
—
1851477913
CMH NPI
WI
Enumeration date
02/08/2007
Last updated
07/21/2022
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