Individual
KENDRA MANWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
1661 N 800 E, LEHI, UT 84043-3369
(385) 329-8459
Mailing address
1661 N 800 E, LEHI, UT 84043-3369
(385) 329-8459
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
90839944901
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86011527
COMMISSION ON DIETETIC REGISTRATION
—
01
—
9083994-4901
STATE OF UTAH DOPL CERTIFICATION
UT
Enumeration date
10/24/2014
Last updated
09/02/2020
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