Individual
MR. KENNETH A ZOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1675 N FREEDOM BLVD, BLDG 3, PROVO, UT 84604-2540
(801) 377-8000
(801) 377-8001
Mailing address
1675 N FREEDOM BLVD, BLDG 3, PROVO, UT 84604-2540
(801) 377-8000
(801) 377-8001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3227931205
UT
208000000X
Pediatrics Physician
3227938905
UT
Other
Enumeration date
04/04/2006
Last updated
10/10/2011
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