Paul Kenneth Brimley
Individual provider Active NPI Foster Care Agency · Spanish Fork, UT
NPI 1992018972 · NPPES record last updated Jul 15, 2014
Key facts
- NPI
- 1992018972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foster Care Agency 253J00000X
- Practice address
- 704 N State Road 51
Spanish Fork, UT 84660-1385 - Phone
- (801) 794-0318
- Fax
- (801) 794-9514
- NPI assigned
- Jul 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | Yes |
Addresses
Primary practice location
704 N State Road 51
Spanish Fork, UT 84660-1385
Mailing address
704 N State Road 51
Spanish Fork, UT 84660-1385
Phone (801) 794-0318
Other providers in Spanish Fork, UT
- Brad Bowen
- Candace Bown
- Ricky Travis Brandon
- Michael Brannin
- Shaun Scott Briggs
- Bryce Brindley
- Wells S. Brockbank
- Andrew Brown
- Jacob Brown
- Jayci Brown
All providers in Spanish Fork, UT · Foster Care Agency in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.