| Marti A Keil Lcsw Pc | |
|
1470 N Main St Ste B Bountiful UT 84010-5996 | |
| (801) 298-5008 | |
| (801) 547-0440 |
| Full Name | Marti A Keil Lcsw Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1470 N Main St Ste B, Bountiful, Utah |
| Authorized Official Name and Position | Martha A Keil (PRESIDENT) |
| Authorized Official Contact | 8012985008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marti A Keil Lcsw Pc 591 N 125 E Kaysville UT 84037-1403 Ph: (801) 547-0440 | Marti A Keil Lcsw Pc 1470 N Main St Ste B Bountiful UT 84010-5996 Ph: (801) 298-5008 |
| NPI Number | 1306979802 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8426133323 |
|---|---|
| Medicare Enrollment ID | O20080317000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306979802 | NPI | - | NPPES |
| Provider Name | Martha A Keil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811167273 PECOS PAC ID: 4385729482 Enrollment ID: I20080313000523 |
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