Individual
KAYDON B LUSTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1151 E 3900 S, SUITE B-299, SALT LAKE CITY, UT 84124-1216
(801) 268-6811
(801) 268-8673
Mailing address
1151 E 3900 S, SUITE B-299, SALT LAKE CITY, UT 84124-1216
(801) 268-6811
(801) 268-8673
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
195359-4402
UT
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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