person
Kendra Black
Student in an Organized Health Care Education/Training Program in Provo, Utah
NPI 1508136839

Kendra Black is a Student in an Organized Health Care Education/Training Program based in Provo, UT. Kendra Black practices in Provo, UT. The NPI Number for Kendra Black is 1508136839 and holds a License No. (Utah).

The current practice location address for Kendra Black is 750 N 200 W Ste 300, Provo, UT and can be reached out via phone at 801-373-4760.

Location: 750 N 200 W Ste 300, Provo, UT, 84601-1690
person
Provider Profile Details
NPI Number
1508136839
Provider Name
Kendra Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
750 N 200 W Ste 300, Provo, UT, 84601-1690
Phone Number
801-373-4760
Fax Number
Provider Enumeration Date
01/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
750 N 200 W Ste 300
City
State
Zip
84601-1690
Phone Number
801-373-4760
Fax Number
person
Provider Business Mailing Address Details
Address
750 N 200 W Ste 300
City
State
Zip
84601-1690
Phone Number
801-373-4760
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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