Individual
KEVYNNE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 W BEARCAT DR, SOUTH SALT LAKE, UT 84115-2519
(801) 428-7841
Mailing address
447 W BEARCAT DR, SOUTH SALT LAKE, UT 84115-2519
(801) 428-7841
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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