Individual
KYLE D MISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 EAST 1400 NORTH, LOGAN, UT 84341
(435) 716-5148
Mailing address
245 SOUTH 370 EAST, SMITHFIELD, UT 84335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
147269-1701
UT
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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