NPI 1003132028

Siope Lee Kinikini, CHMC

Practitioner Professional Counselor Salt Lake City, UT

Practice location

Address: 5800 Highland Dr, Salt Lake City, UT 84121-1359
Phone: (801) 272-9980
Fax: (801) 272-9976
Mailing address: 11777 S Lake Run Rd, South Jordan, UT 84009-8195

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 7170549-6009 (UT)

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Registry record

NPI: 1003132028
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2010
Record last updated: 30 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.