Individual
KENDRA ELIZABETH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
175 N MEDICAL DR E, SALT LAKE CITY, UT 84132-0001
(801) 585-6387
Mailing address
175 N MEDICAL DR E, SALT LAKE CITY, UT 84132-0001
(801) 585-6387
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10964166-1205
UT
Other
Enumeration date
04/28/2017
Last updated
10/20/2022
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