Individual
KEVIN TODD CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1250 E 3900 S, SUITE 260, SALT LAKE CITY, UT 84124-1348
(801) 265-2000
(801) 506-0296
Mailing address
1250 E 3900 S, SUITE 260, SALT LAKE CITY, UT 84124-1348
(801) 265-2000
(801) 506-0296
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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