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

Keanon Coushawn Battle

Individual provider Nurse's Aide · NPI 1417774050

Keanon Coushawn Battle is a Nurse's Aide in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

2020 S 1300 E Ste C
Salt Lake City, UT 84105-3664
Phone: (801) 401-3515
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence UT014160101108 (UT)

Record details

NPI number1417774050
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2024
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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