Johnson, Kyle

Johnson, Kyle is an individual health care provider with primary practice located at 1875 S Redwood Rd , Slc UT 84104-5112. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Johnson, Kyle can be contacted via phone (801) 363-9400.

Contact Information

Primary practice address
1875 S Redwood Rd Slc UT 84104-5112
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1821879263
LBN Legal business name Johnson, Kyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2023
Last updated Oct 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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