Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Paul Libre, MD

Individual provider Family Medicine Physician · NPI 1801873534

Dr. Kenneth Paul Libre, MD is an Emergency Medicine in Alta, Utah. Graduated from Geisel School of Medicine at Dartmouth in 1994, 32 years ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
32
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
UT
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10160 E Highway 210 Ste 1 Goldminer's Daughter Lodge
Alta, UT 84092-8072
Phone: (801) 742-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 328690-1205 (UT)

Record details

NPI number1801873534
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 23, 2005
Last updated in NPPESDecember 21, 2012
Mailing addressPo Box 8072, Alta, UT 84092-8072

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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