Mr. Tate Kennedy Larson
Mr. Tate Kennedy Larson is a Community Health Worker in Logan, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2019
Practice location Address checks out
1755 N 200 ELogan, UT 84341-1915
Phone: (801) 499-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X (UT) |
|---|
Record details
| NPI number | 1730652884 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 10, 2019 |
| Last updated in NPPES | January 10, 2019 |
| Mailing address | 971 S 800 W, Brigham City, UT 84302-3042 |
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