Individual
KYOKO PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
173 N 400 W STE C11, OREM, UT 84057-1909
(801) 802-7373
(801) 802-7733
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13609481-1206
UT
Other
Enumeration date
04/30/2021
Last updated
06/18/2024
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