Individual
KENNETH ALLEN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2240 ADAMS AVE, OGDEN, UT 84401-1511
(801) 393-5355
(801) 394-4609
Mailing address
1706 E 14TH ST, PUEBLO, CO 81001-2848
(801) 842-9622
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5934948-1206
UT
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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