# K & C ENTERPISES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043689953
- **Authorized official:** CLARK C LARSEN M.D. (OWNER)
- **Authorized official phone:** (801) 554-0199

## Contact information

- **Practice address:** 445 E MAPLEBERRY CT, DRAPER, UT 84020-6860
- **Practice address phone:** (801) 554-0199
- **Mailing address:** 445 E MAPLEBERRY CT, DRAPER, UT 84020-6860
- **Mailing address phone:** (801) 554-0199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2015
- **Last updated:** 09/21/2015