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1215027818
KENNETH KELLY FOREMAN
SALT LAKE CITY, UT
NPI
1215027818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 275391-2401)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
KENNETH KELLY FOREMAN PT
520 WAKARA WAY
SALT LAKE CITY, UT 84108-1213
Phone number: 801-587-9161
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Mailing Address
KENNETH KELLY FOREMAN PT
PO BOX 581002
SALT LAKE CITY, UT 84158-1002
Phone number: 801-213-3800
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