Richard Douglas Killpack

Peer Specialist · Provo, UT

Individual Active NPI

NPI number 1316539653

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677
Phone
(801) 373-4760

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NPI record

NPI
1316539653
Entity type
Individual (Type 1)
Enumeration date
February 8, 2021
Last updated
February 8, 2021
Certified
February 8, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

Other practice locations (1)

  • 1885 Ute Blvd, Park City, UT 84098-7680 · (385) 447-3521

About Richard Killpack

Richard Douglas Killpack is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 750 N Freedom Blvd, Provo, UT 84601-1677. The NPI number 1316539653 was assigned on February 8, 2021 and the record was last updated on February 8, 2021.

Frequently asked questions

What is the NPI number of Richard Douglas Killpack?

The NPI number is 1316539653.

What is the phone number of Richard Killpack?

The phone number listed for the practice location is (801) 373-4760.

Where is Richard Killpack located?

750 N Freedom Blvd, Provo, UT 84601-1677.

What is the taxonomy code for Richard Killpack?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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