DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH THOMAS PETAGNA

Active

KEITH THOMAS PETAGNA is a Case Manager healthcare provider located in SALT LAKE CITY, Utah. NPI 1992499362 is currently active in the NPPES registry. Verify at CMS.

Case Manager · SALT LAKE CITY, UT

Registration Details

NPI Number
1992499362
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2023 (3.1774443273462 yrs)
Last Updated
Oct 17, 2024
License
F24-112623 (UT)

Practice Information

Address
443 S 600 E
SALT LAKE CITY, UT, 841022708
Browse UT providers · Browse ZIP 84102
Phone
8015366523
Primary Specialty
Case Manager
171M00000X
Additional Specialty
Case Manager

Other Case Manager Providers in SALT LAKE CITY, UT

Name Credential NPI
MS. CHARMAINE REGINA STAPFER MFT 1912077629
MARGARET A COBLE 1477118271
DIANE ALLISON 1124294400
JACOB SCOTT THAYN 1033790803
MR. JAMES VICTOR MERCER RN 1437386802
KENDRA L ODILEY 1164741351
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.