Individual
ALLY KENNEDY BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3452 N 2575 W, FARR WEST, UT 84404-8611
(801) 917-7442
Mailing address
3452 N 2575 W, FARR WEST, UT 84404-8611
(801) 917-7442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11758643-3102
UT
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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