Individual
KADEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
652 W 2150 S, PERRY, UT 84302-4379
(385) 238-0789
Mailing address
652 W 2150 S, PERRY, UT 84302-4379
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11203356-4405
UT
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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