Provider Demographics
NPI:1851695068
Name:KEYWORTH, CLAUDIA (BMD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:KEYWORTH
Suffix:
Gender:F
Credentials:BMD
Other - Prefix:MR
Other - First Name:JON
Other - Middle Name:K
Other - Last Name:KEYWORTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OWNER
Mailing Address - Street 1:1812 N 1120 W
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-1179
Mailing Address - Country:US
Mailing Address - Phone:801-374-2211
Mailing Address - Fax:888-432-0776
Practice Address - Street 1:1812 N 1120 W
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-1179
Practice Address - Country:US
Practice Address - Phone:801-374-2211
Practice Address - Fax:888-432-0776
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath