Keddington, Robert

Keddington, Robert is an individual health care provider with primary practice located at 3460 Pioneer Pkwy , West Valley City UT 84120-2049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Keddington, Robert can be contacted via phone (801) 964-3100.

Contact Information

Primary practice address
3460 Pioneer Pkwy West Valley City UT 84120-2049
Phone: (801) 964-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 157703-1205 Utah
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 157703-1205 Utah

Profile Details

NPI number 1407817471
LBN Legal business name Keddington, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Apr 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407817471 NPPES
Utah MEDICAID 05079

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