Keith J. Clayton, M.D., P.C.

LBN: Keith J. Clayton, M.D., P.C.
Keith J. Clayton, M.D., P.C. is an health care organization with primary practice located at 1675 N Freedom Blvd Ste 9C, Provo UT 84604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Keith J. Clayton, M.D., P.C. can be contacted via phone (801) 377-4800, or through Ord, Tracey Lynne via phone (801) 377-4800.

Contact Information

Primary practice address
1675 N Freedom Blvd Ste 9C Provo UT 84604
Phone: (801) 377-4800
Fax: (801) 377-4041
Website:
Map and Directions
Authorized official contact:
Name: Ord, Tracey Lynne
Phone: (801) 377-4800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 152622-1205 Utah

Profile Details

NPI number 1942588082
LBN Legal business name Keith J. Clayton, M.D., P.C.
DBA Doing business as
Authorized official Ord, Tracey Lynne
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2011
Last updated Jul 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942588082 NPPES
Utah MEDICAID 550480776008

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