EVAN T KENISON

Community/Behavioral Health

Active Organization
NPI: 1639312382

Practice Address

50 N MAIN ST
Tooele, UT 84074

Phone: (435) 485-0254

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X Yes 3099283501 (UT)

Frequently Asked Questions

NPI 1639312382 is the National Provider Identifier for EVAN T KENISON, a Community/Behavioral Health provider located in Tooele, UT. This NPI was enumerated on April 10, 2009.

Quick Facts

NPI
1639312382
Type
Organization
Enumerated
Apr 10, 2009
Last Updated
Apr 10, 2009

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