Charles Kip Deweese
APRN | Nurse Practitioner | 25+ years Exp
82 S 1100 E, Suite 204, Salt Lake City
Utah, 84102-1686
801-350-4602
Charles Kip Deweese is a Salt Lake City, Utah based nurse practitioner with 25 years of experience in . He completed his graduation in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charles Kip Deweese is 206077-4405 in Utah. His current practice location is 82 S 1100 E, Suite 204, Salt Lake City. Patients can reach him at 801-350-4602. Charles Kip Deweese is APRN and his NPI number (Unique professional ID assigned by NPPES) is 1063506889.
Charles Kip Deweese has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Charles Kip Deweese speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Charles Kip Deweese |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | APRN |
| Experience: | 25+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2000 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 82 S 1100 E, Suite 204, Salt Lake City,
Utah, 84102-1686 |
| Phone: | 801-350-4602 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9436135605 |
| Enrollment ID: | I20040628001055 |
| NPI Number: | 1063506889 |
| NPI Enumeration Date: | 03 Oct, 2006 |
| NPI Last Update On: | 20 Oct, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Kip Deweese are as mentioned below.
| License Number | Specialization | State | Status | |
| 206077-4405 | | Utah | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (460009) | Salt lake city, UT | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Charles Kip Deweese is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| University Of Utah Adult Services (0941525273) | 1392 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Charles Kip Deweese
82 S 1100 E, Suite 204
Salt Lake City, Utah |
| Zip: | 84102-1686 |
| Phone Number: | 801-350-4602 |
Patients can reach Charles Kip Deweese at
82 S 1100 E, Suite 204, Salt Lake City, Utah or can
call to book an appointment on 801-350-4602.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.