Kyle Richard McKeown, MD, MPH
Pediatrics, Pediatric Gastroenterology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1669964334
StatusActive
Last updated in NPPESJun 21, 2024
Details
- NPI
- 1669964334
- Entity type
- Individual (NPI-1)
- Name
- Kyle Richard McKeown
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2018
- Certification date
- Jun 21, 2024
- Last updated
- Jun 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | 13867707-1205 | UT | Yes |
| 208000000X | Pediatrics | R77002 | AZ |
Practice location
81 N Mario Capecchi DrSalt Lake City, UT 84113-1125
Phone 702-813-7858
Mailing address
4287 E River Falls DrTucson, AZ 85712-6650
Phone 702-813-7858
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