Keith Thomas Petagna
Keith Thomas Petagna is a Community Health Worker in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2023.
- Licensed in
- UT
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
443 S 600 ESalt Lake City, UT 84102-2708
Phone: (801) 536-6523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence F24-112623 (UT) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1992499362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 7, 2023 |
| Last updated in NPPES | October 17, 2024 |
| Certification date | October 17, 2024 |
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