NPI 1023549268

Jamie Kingdon

Practitioner Prevention Professional North Salt Lake, UT

Practice location

Address: 652 Eaglepointe Dr, North Salt Lake, UT 84054-2643
Phone: (801) 638-7785

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 119740-2401 (UT)

Other Prevention Professional providers in Utah →

Registry record

NPI: 1023549268
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2017
Record last updated: 21 Mar 2017

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.