Jack, Kaitlyn
Jack, Kaitlyn is an individual health care provider with primary practice located at 1510 W 5400 S , Taylorsville UT 84123-5310. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jack, Kaitlyn can be contacted via phone (385) 646-4418.Contact Information
Primary practice address
1510 W 5400 S
Taylorsville UT 84123-5310
Phone: (385) 646-4418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 10931349-4202 | Utah |
Profile Details
| NPI number | 1790422988 |
|---|---|
| LBN Legal business name | Jack, Kaitlyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2022 |
| Last updated | May 18th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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