Landon, Kip Allan

Landon, Kip Allan is an individual health care provider with primary practice located at 750 N 200 W , Provo UT 84601-1677. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Landon, Kip Allan can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
750 N 200 W Provo UT 84601-1677
Phone: (801) 373-4760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 70079313-3501 Utah

Profile Details

NPI number 1578739017
LBN Legal business name Landon, Kip Allan
Credentials MSWI
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated Jan 26th, 2017 - about 7 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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