Individual
KENNEDY BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
Mailing address
144 S 500 E, SALT LAKE CITY, UT 84102-1907
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
6995747-4405
UT
Other
Enumeration date
09/30/2014
Last updated
11/11/2021
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