NPI 1467173765
Justice Kassidy Wallace
Practice location
- Address
- 344 E 100 S STE 301, Salt Lake City, UT 84111-1727
- Phone
- (801) 428-4257
Registered specialties
Technician
Primary
Registry record
- NPI
- 1467173765
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Sep 2022
- Record last updated
- 6 Sep 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.