Individual
KALEB PARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1755 N 200 E BSMT, LOGAN, UT 84341-1915
(435) 232-6612
Mailing address
971 S 800 W, BRIGHAM CITY, UT 84302-3042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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