Individual
DR. KEVIN CLIFFORD SHOSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2828 W 4700 S, SUITE D, SALT LAKE CITY, UT 84118-2154
(801) 281-3937
(801) 281-1430
Mailing address
2828 W 4700 S, SUITE D, SALT LAKE CITY, UT 84118-2154
(801) 281-3937
(801) 281-1430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7385204-9934
UT
Other
Enumeration date
06/23/2009
Last updated
05/04/2012
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