NPI 1003520453
Kaci Bobo
Practice location
- Address
- 780 S Guardsman Way, Salt Lake City, UT 84108-1374
- Phone
- (888) 949-4864
- Mailing address
- 4460 S Highland Dr, Salt Lake City, UT 84124-3543
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1003520453
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Jan 2023
- Record last updated
- 10 Jan 2023
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.