KENT B WHITAKER

LOGAN, UT
NPI1487635579
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  105103-1206)
Enumeration Date2005-11-07
Last Update Date2008-05-15
Business Address
-- KENT B WHITAKER PA
550 E 1400 N SUITE R
LOGAN, UT 84341-2406
Phone number: 435-755-9484
Mailing Address
-- KENT B WHITAKER PA
550 E 1400 N STE R
LOGAN, UT 84341-2406
Phone number: 435-755-9484
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