Individual
KIM DOANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2241 E LAIRD WAY, SALT LAKE CITY, UT 84108-1924
(801) 803-1696
Mailing address
2241 E LAIRD WAY, SLC, UT 84108-1924
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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