Individual
MRS. MERIN MARIE KINIKINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
8TH AVE AND C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-8554
Mailing address
980 S 1200 E, SALT LAKE CITY, UT 84105-1523
(801) 440-8602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
109852-4405
UT
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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