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Individual

LIANA OLIVIA KINIKINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN, NP-C

Contact information

Practice address
3895 W 7800 S, SUITE 100, WEST JORDAN, UT 84088-5617
(801) 280-7774
(801) 748-2790
Mailing address
3895 W 7800 S, SUITE 100, WEST JORDAN, UT 84088-5617
(801) 280-7774
(801) 748-2790

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4777852-4405
UT
363LP2300X
Primary Care Nurse Practitioner
Primary
4777852-4405
UT

Other

Enumeration date
09/18/2012
Last updated
07/18/2013
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