Individual
BRIAN KINLACHEENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 583-2500
Mailing address
4558 W RUPLE RIDGE LN, HERRIMAN, UT 84096-2949
(801) 628-9625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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