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Organization
KIFA HEALTH, LLC
Active
Organization
KIFA HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSANA KINIKINI DNP (FNP/PMHNP)
(801) 618-7370
Entity
Organization
Contact information
Practice address
678 E VINE ST STE 11, MURRAY, UT 84107-5500
(801) 618-7370
(801) 752-0630
Mailing address
160 E 800 S # B, SALT LAKE CITY, UT 84111-3827
(801) 618-1213
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
07/15/2024
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