Individual
KIM KATHERINE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 W 200 S # 142, SALT LAKE CITY, UT 84101-1337
(801) 433-2595
Mailing address
230 W 200 S # 142, SALT LAKE CITY, UT 84101-1337
(801) 433-2595
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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