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Individual

LUCAS RYAN KECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
900 ROUND VALLEY DR STE 100, PARK CITY, UT 84060-7552
(435) 655-6600
Mailing address
900 ROUND VALLEY DR STE 100, PARK CITY, UT 84060-7552
(435) 655-6600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13915647-1206
UT

Other

Enumeration date
08/08/2019
Last updated
09/14/2025
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