NPI 1417774050

Keanon Coushawn Battle

Practitioner Nurse's Aide Salt Lake City, UT

Practice location

Address: 2020 S 1300 E STE C, Salt Lake City, UT 84105-3664
Phone: (801) 401-3515
Mailing address: 1623 N 3860 W, Lehi, UT 84043-4652

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence UT014160101108 (UT)

Other Nurse's Aide providers in Utah →

Registry record

NPI: 1417774050
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2024
Record last updated: 24 Sep 2024

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.