Individual
LYDIA KENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
286 S 600 E STE A, PROVO, UT 84606-4780
(208) 240-7178
Mailing address
417 SLATE DR, SANTAQUIN, UT 84655-5707
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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