Individual
DR. KENNETH NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 S 1200 W, OREM, UT 84058-5972
(801) 372-1419
Mailing address
1596 W 1200 S, SPRINGVILLE, UT 84663-5075
(801) 669-2356
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
368821-3902
UT
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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