Individual
KURT DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
5901069-3102
UT
Other
Enumeration date
08/14/2016
Last updated
08/14/2016
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