Individual
MR. KUN MAO KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 E 200 S, SALT LAKE CITY, UT 84102-2110
(801) 363-0203
Mailing address
607 E 200 S, SALT LAKE CITY, UT 84102-2110
(801) 363-0203
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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