Individual
KOHL AHLRICHS CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 E 840 S, OREM, UT 84058-5016
(801) 226-7696
Mailing address
195 E 840 S, OREM, UT 84058-5016
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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