# KEVIN K. PARZYCH, MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KEVIN K. PARZYCH, MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386839579
- **Legal business name:** KEVIN K. PARZYCH, MD
- **Authorized official:** KEVIN K PARZYCH MD (PHYSICAN)
- **Authorized official phone:** (801) 892-0135

## Contact information

- **Practice address:** 1151 E 3900 S, B299, SALT LAKE CITY, UT 84124-1216
- **Practice address phone:** (801) 892-0135
- **Practice address fax:** (801) 266-2362
- **Mailing address:** 1151 E 3900 S, B299, SALT LAKE CITY, UT 84124-1216
- **Mailing address phone:** (801) 892-0135
- **Mailing address fax:** (801) 266-2362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2007
- **Last updated:** 09/18/2007
