Individual
KYLE KITCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1915 W 5950 S, ROY, UT 84067-1454
(801) 387-8215
(801) 387-8245
Mailing address
1480 W 1075 S, LAYTON, UT 84041-7772
(801) 593-5528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
500521-1701
UT
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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