Dr. Keith H Evans
General Practice Physician
1140 W 500 S
Vernal
, Utah 84078-2914
Dr. Keith H Evans
General Practice Physician
1140 W 500 S
Vernal
, Utah 84078-2914
(435) 789-6325
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Keith H Evans
- 1140 W 500 S Ste 9
- Vernal, UT
- Zip : 84078-2912
- Fax : (435) 789-6325
- Phone : (435) 789-6300
Second Address
- Dr. Keith H Evans
- 1140 W 500 S
- Vernal, UT
- Zip : 84078-2914
- Fax : (435) 789-6325
- Phone : (435) 789-6300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 1612791205 | UT |
National Provider Identifier
| NPI | 1033179049 |
|---|---|
| Provider Name | Dr. Keith H Evans |
| First Address | Vernal, UT 84078-2912 |
| Second Address | Vernal, UT 84078-2914 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2006 |
| Last Update Date | 07/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.