Kendra Black
Kendra Black is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
750 N 200 W Ste 300Provo, UT 84601-1690
Phone: (801) 373-4760
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1508136839 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 4, 2012 |
| Last updated in NPPES | January 4, 2012 |
| Mailing address | 750 N 200 W Ste 300, Provo, UT 84601-1690 |
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