Individual
MR. SEAN T KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, LAT, ATC
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2400
Mailing address
428 E DOWNINGTON AVE APT 1, SALT LAKE CITY, UT 84115-2256
(435) 790-6320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
8001227-4810
UT
363A00000X
Physician Assistant
Primary
8001227-1206
UT
363AS0400X
Surgical Physician Assistant
8001227-1206
UT
Other
Enumeration date
05/01/2014
Last updated
06/27/2023
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