Individual
KODY K BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 S 500 E STE 135, CLEARFIELD, UT 84015-4001
(801) 391-0896
Mailing address
370 S. 500 E. #135, CLEARFIELD, UT 84015
(801) 391-0896
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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