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Individual

MARY DANIELLE KUYKENDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP, APRN

Contact information

Practice address
60 E 3750 S, SOUTH SALT LAKE, UT 84115-4428
(801) 486-0911
(801) 262-3709
Mailing address
PO BOX 850, OAKLEY, UT 84055-0801
(801) 696-2444

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
77110
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8658127-4405
UT

Other

Enumeration date
07/24/2023
Last updated
04/11/2025
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