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Kenneth Libre, M.D
NPI 1801873534 · on the registry since 2005 · sole proprietor
Practice
- Address
- 10160 E Highway 210
Suite 1, Goldminer'S Daughter Lodge
Alta, UT 84092 - Phone
- (801) 742-2273
- Organisation at this address
- Alta Medical Services Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah