Dr Kevin R Duke, DO | |
382 W 280 N, Providence, UT 84332-0609 | |
(435) 752-0330 | |
(435) 755-0922 |
Full Name | Dr Kevin R Duke |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 382 W 280 N, Providence, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003882713 | NPI | - | NPPES |
1003001959 | Other | UT | CORP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 290545-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cns Community Hospice - Providence | Providence, UT | Hospice |
Nell J Redfield Memorial Hospital | Malad, ID | Hospital |
Logan Regional Hospital | Logan, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Living Tree Medical Group | 5294128963 | 4 |
Entity Name | Living Tree Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639754583 PECOS PAC ID: 5294128963 Enrollment ID: O20220202001670 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin R Duke, DO 1219 N 400 E, North Logan, UT 84341-2321 Ph: () - | Dr Kevin R Duke, DO 382 W 280 N, Providence, UT 84332-0609 Ph: (435) 752-0330 |
Vera B Carlson, MD, PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 565 W 465 N Ste 130, Providence, UT 84332 Phone: 435-752-5553 Fax: 435-755-5043 | |
Jeremy Broadhurst, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300 | |
Andrew B Grose, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922 | |
Thomas H Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 W 465 N, Providence, UT 84332 Phone: 385-238-3900 Fax: 385-238-3901 | |
Dr. Lars Bergeson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922 | |
James Dennis Mathews, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922 |