Individual
KEVIN METZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2434
Mailing address
134 K ST APT 5, SALT LAKE CITY, UT 84103-5503
(801) 633-8792
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8054926-3102
UT
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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