Slack, Caryn Kendra
Slack, Caryn Kendra is an individual health care provider with primary practice located at 4535 S 5600 W , West Valley City UT 84120-4639. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Slack, Caryn Kendra can be contacted via phone (801) 676-4405.Contact Information
Primary practice address
4535 S 5600 W
West Valley City UT 84120-4639
Phone: (801) 676-4405
Fax: (877) 497-4661
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5597655-1205 | Utah |
Profile Details
NPI number | 1689619124 |
---|---|
LBN Legal business name | Slack, Caryn Kendra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2006 |
Last updated | Nov 18th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689619124 | NPPES |
Utah | MEDICAID | 1164672770 |
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