Individual
IVO KEKOA HANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1490 E FOREMASTER DR, ST GEORGE, UT 84790-4488
(435) 628-1641
(435) 628-1660
Mailing address
652 S 600 E APT 4, ST GEORGE, UT 84770-3762
(435) 216-6686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6430990-4405
UT
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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