Kidney & Hypertension Institute Of Utah PLLC
Internal Medicine, Nephrology in Layton, UT. Organization (NPI-2).
NPI number1508073545
StatusActive
Last updated in NPPESJun 10, 2022
Details
- NPI
- 1508073545
- Entity type
- Organization (NPI-2)
- Legal business name
- Kidney & Hypertension Institute Of Utah PLLC
- Organization subpart
- No
- Enumeration date
- May 17, 2007
- Certification date
- Jun 10, 2022
- Last updated
- Jun 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
| 174400000X | Specialist | 64199708905 | UT |
Practice location
2132 N 1700 WSte 110
Layton, UT 84041-7057
Phone 801-779-3500 · Fax 866-277-0853
Mailing address
2132 N 1700 WSte 110
Layton, UT 84041-7059
Phone 801-779-3500 · Fax 801-779-3508
Authorized official
Kristi Dmytriw
Vp Of Operations
3038092855
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