Individual
KENDRA J MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 N MAIN ST, TOOELE, UT 84074-2141
(435) 277-2328
Mailing address
151 N MAIN ST, TOOELE, UT 84074-2141
(435) 277-2328
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
5920072-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649462920
—
UT
Enumeration date
07/05/2012
Last updated
07/05/2012
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