Search › Utah › 171M00000X
Keith Petagna
NPI 1992499362 · on the registry since 2023
Practice
- Address
- 443 S 600 E
Salt Lake City, UT 84102 - Phone
- (801) 536-6523
- Organisation at this address
- Valley Mental Health Incorporated
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 55
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 172V00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-17
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