Bradley Keep, | |
4610 W 9980 N, Cedar Hills, UT 84062-8728 | |
(801) 636-0674 | |
(801) 636-0674 |
Full Name | Bradley Keep |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4610 W 9980 N, Cedar Hills, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1588176606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7667842-4405 (Utah) | Primary |
Entity Name | Physician Group Of Utah Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
Mailing Address | Practice Location Address |
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Bradley Keep, 4610 W 9980 N, Cedar Hills, UT 84062-8728 Ph: (801) 636-0674 | Bradley Keep, 4610 W 9980 N, Cedar Hills, UT 84062-8728 Ph: (801) 636-0674 |
Ashleigh Ingebrigtsen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4339 W Aspen Cv, Cedar Hills, UT 84062 Phone: 801-419-8151 | |
Joslyn Dana Wilson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9621 N 4500 W, Cedar Hills, UT 84062 Phone: 801-471-5575 | |
William Walker Spurgeon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10796 N La Costa, Cedar Hills, UT 84062 Phone: 626-498-6192 | |
Ms. Paula Renata Hobson, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10431 N Sage Vista Ln, Cedar Hills, UT 84062 Phone: 801-592-3322 |