Individual
MR. KEITH CHATWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8545 S REDWOOD RD, UNIT B1, WEST JORDAN, UT 84088-5576
(801) 255-2782
(801) 255-2782
Mailing address
8545 S REDWOOD RD, UNIT B1, WEST JORDAN, UT 84088-5576
(801) 255-2782
(801) 255-2782
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2013-PCA-UT000605
UT
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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