Healthcare Provider Details

I. General information

NPI: 1841141017
Provider Name (Legal Business Name): SHERYL LEA KEATING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8170 S HIGHLAND DR STE E2
SANDY UT
84093-6497
US

IV. Provider business mailing address

11462 S RIVER FRONT PKWY
SOUTH JORDAN UT
84095-3537
US

V. Phone/Fax

Practice location:
  • Phone: 801-232-3186
  • Fax:
Mailing address:
  • Phone: 801-232-3186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number14268916-3400
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: