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Individual

CHAD BARRETT KAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
395 W COUGAR BLVD STE 802, PROVO, UT 84604-3311
(801) 492-2510
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7148416-1205
UT
207RG0100X
Gastroenterology Physician
Primary
7148416-1205
UT

Other

Enumeration date
10/13/2008
Last updated
12/03/2025
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