Individual
KRISTEN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 263-7100
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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