Individual
ALLISON KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
Mailing address
428 E DOWNINGTON AVE APT 1, SALT LAKE CITY, UT 84115-2256
(651) 238-7863
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
9420137-4405
UT
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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