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Individual

KINGI M LANGI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA.C, M.T.

Contact information

Practice address
313 E 900 S, STE 102, SALT LAKE CITY, UT 84111-4315
(801) 532-2265
(801) 532-2351
Mailing address
313 E 900 S, STE 102, SALT LAKE CITY, UT 84111-4315
(801) 532-2265
(801) 532-2351

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1061331206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
870460998008
UT
Enumeration date
05/27/2006
Last updated
07/18/2016
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