Individual
KAY WHTING HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1753 SIDEWINDER DR # 200, PARK CITY, UT 84060-7322
(435) 649-8347
Mailing address
1753 SIDEWINDER DR # 200, PARK CITY, UT 84060-7322
(435) 649-8347
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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