Individual
KEVIN SHORTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1385 S 3750 E, SPANISH FORK, UT 84660-6398
(801) 831-1573
Mailing address
1385 S 3750 E, SPANISH FORK, UT 84660-6398
(801) 831-1573
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12957350-3102
UT
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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