Healthcare Provider Details

I. General information

NPI: 1891149621
Provider Name (Legal Business Name): MATTHEW DAVID MCKEE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W 300 N
ROOSEVELT UT
84066-2336
US

IV. Provider business mailing address

250 W 300 N STE 201
ROOSEVELT UT
84066-2336
US

V. Phone/Fax

Practice location:
  • Phone: 435-722-4691
  • Fax: 435-722-9291
Mailing address:
  • Phone: 385-626-8809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number11336434-1204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: