Individual
ELIZABETH KINNAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13552 S 110 W STE 204, DRAPER, UT 84020-2403
(801) 432-0883
Mailing address
13552 S 110 W STE 204, DRAPER, UT 84020-2403
(801) 432-0883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13214443-6004
UT
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
01/12/2026
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