Individual
MR. SHANE MERWIN KJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
324 10TH AVE STE 154, SALT LAKE CITY, UT 84103-2876
(801) 408-8666
(801) 322-0567
Mailing address
324 10TH AVE STE 154, SALT LAKE CITY, UT 84103-2876
(801) 408-8666
(801) 322-0567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3757931206
UT
Other
Enumeration date
07/13/2006
Last updated
02/19/2008
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