Individual
KEVIN L. BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E 100 S STE 4700, SALT LAKE CITY, UT 84102-2793
(801) 587-3000
Mailing address
525 E 100 S STE 4700, SALT LAKE CITY, UT 84102-2793
(801) 587-3000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
UT
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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