Taylor, Keith Gordon

Taylor, Keith Gordon is an sole proprietor health care provider with primary practice located at 179 W Winchester St , Murray UT 84107-7237. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Taylor, Keith Gordon can be contacted via phone (801) 904-3826.

Contact Information

Primary practice address
179 W Winchester St Murray UT 84107-7237
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1013556422
LBN Legal business name Taylor, Keith Gordon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2020
Last updated Jan 2nd, 2020 - about 4 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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