Individual
KENNEDY YOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2296 S FOOTHILL DR APT 110D, SALT LAKE CITY, UT 84109-3907
(208) 530-1259
Mailing address
2296 S FOOTHILL DR APT 110D, SALT LAKE CITY, UT 84109-3907
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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