NPIMap

Organization Active NPI

Kevin R Duke, DO, PC

  • Health Service Clinic/Center
  • Providence, UT
National Provider Identifier
1003001959
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
290545-1204 Issued in UT
Legal business name
KEVIN R DUKE, DO, PC
Practice address
382 W 280 N
Providence, UT 84332-0609
Phone
(435) 752-0330
Fax
(435) 755-0922
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin R Duke, D.O.
Title
Owner
Phone
(435) 752-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 290545-1204 UT Primary

Addresses

Primary practice location

382 W 280 N
Providence, UT 84332-0609

Mailing address

PO Box 609
Providence, UT 84332-0609
Phone (435) 752-0330

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1003001959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843320609",
            "telephone_number": "435-752-0330",
            "fax_number": "435-755-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 W 280 N",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843320609",
            "telephone_number": "435-752-0330",
            "fax_number": "435-755-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN R DUKE, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-752-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "UT",
            "license": "290545-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.