Larsen, Kaylie A
Larsen, Kaylie A is an individual health care provider with primary practice located at 230 W 200 S # 142 , Salt Lake City UT 84101-1337. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Larsen, Kaylie A can be contacted via phone (801) 433-2595.Contact Information
Primary practice address
230 W 200 S # 142
Salt Lake City UT 84101-1337
Phone: (801) 433-2595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1811596885 |
|---|---|
| LBN Legal business name | Larsen, Kaylie A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2020 |
| Last updated | Oct 21st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811596885 | NPPES |
| Utah | MEDICAID | 1336336445 |
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