Larson, Tate Kennedy

Larson, Tate Kennedy is an sole proprietor health care provider with primary practice located at 1755 N 200 E , Logan UT 84341-1915. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Larson, Tate Kennedy can be contacted via phone (801) 499-6300.

Contact Information

Primary practice address
1755 N 200 E Logan UT 84341-1915
Phone: (801) 499-6300
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1730652884
LBN Legal business name Larson, Tate Kennedy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2019
Last updated Jan 10th, 2019 - about 7 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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