Individual
DR. KONRAD SPENCER KENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604
(801) 357-7850
Mailing address
4308 N CHESTNUT OAK DR, LEHI, UT 84043-4985
(801) 821-7899
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8771575-1205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
8771575-1205
UT
Other
Enumeration date
04/02/2012
Last updated
05/28/2019
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