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Individual

MR. KODY D KENNINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
1100 COUNTRY HILLS DR, 200, OGDEN, UT 84403-2503
(801) 399-5014
Mailing address
985 W 7850 S, WILLARD, UT 84340-6701
(435) 734-9197

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5159751-4101
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982840716
UT
Enumeration date
12/29/2008
Last updated
08/14/2013
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