Individual
KIRANY GINES BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 N 990 E, LOGAN, UT 84322-0001
(435) 757-8473
Mailing address
765 N 990 E, LOGAN, UT 84322-0001
(435) 757-8473
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11222368-4102
UT
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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