Individual
KURT R UMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2132 N 1700 W, SUITE 200, LAYTON, UT 84041-7057
(801) 776-0174
(801) 825-3904
Mailing address
PO BOX 30180, SUITE 310, SALT LAKE CITY, UT 84130-0180
(801) 362-0295
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4935435-1206
UT
Other
Enumeration date
10/18/2010
Last updated
04/05/2016
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