Individual
KEVIN K LOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 N 1950 W, SALT LAKE CITY, UT 84116-3100
(435) 704-7324
Mailing address
195 N 1950 W, SALT LAKE CITY, UT 84116-3100
(435) 704-7324
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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