Individual
KJIRSTEN CYNTHIA NOEL KEETCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7213 N SILVER CREEK WAY, EAGLE MOUNTAIN, UT 84005-5191
(801) 980-1510
Mailing address
7213 N SILVER CREEK WAY, EAGLE MOUNTAIN, UT 84005-5191
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11785473-4102
UT
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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