Organization
KEN CARYL 904 INC
Active
Organization
KEN CARYL 904 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE VINCENT (ACCOUNTANT)
(801) 313-8000
Entity
Organization
Contact information
Practice address
12482 W KEN CARYL AVE UNIT A5, LITTLETON, CO 80127-3724
(720) 574-2141
Mailing address
5544 S GREEN ST, MURRAY, UT 84123-5798
(801) 313-8000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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