Individual
MR. KYLE DENTON MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3355 WASHINGTON BLVD, OGDEN, UT 84401-4105
(801) 317-2862
Mailing address
3355 WASHINGTON BLVD, OGDEN, UT 84401-4105
(801) 317-2862
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F25-117239
UT
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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