Individual
MRS. RITA BARRY KINNEBREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 FOOTHIL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2564
Mailing address
PO BOX 2841, PARK CITY, UT 84060-2841
(801) 582-1565
(801) 584-2564
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
211208-3102
UT
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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