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Organization
KAYSVILLE CLINIC, LLC
Active
Organization
KAYSVILLE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAYNE K KAMALU MD (OWNER)
(801) 544-4227
Entity
Organization
Contact information
Practice address
934 S MAIN, LAYTON, UT 84041-4250
(801) 544-4227
(801) 544-3724
Mailing address
934 S MAIN, LAYTON, UT 84041-4250
(801) 544-4227
(801) 544-3724
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
10/26/2007
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