Individual
TANNER MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 N 2100 W, SALT LAKE CITY, UT 84116-2991
(385) 347-0763
Mailing address
568 N LOCUST AVE, LINDON, UT 84042-1313
(801) 473-6601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ACM-01813
UT
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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