Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH PAUL LIBRE, M.D.
Active Sole ProprietorDR. KENNETH PAUL LIBRE, M.D. is a Family Medicine healthcare provider located in ALTA, Utah. NPI 1801873534 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ALTA, UT
Registration Details
- NPI Number
- 1801873534
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2005 (20.643000363462 yrs)
- Last Updated
- Dec 21, 2012
- License
-
328690-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10160 E HIGHWAY 210SUITE 1, GOLDMINER'S DAUGHTER LODGEALTA, UT, 840928072Browse UT providers · Browse ZIP 84092
- Phone
- 8017422273
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.