Dean M Kennington in Sandy - Clinical

Dean M Kennington - NPI 1043296601

Dean M Kennington is a Clinical in Sandy, Utah. Dean M Kennington practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dean M Kennington is 1043296601. The last update date is 2007-07-08.

Dean M Kennington's current location address is 9314 Alvey Ln, Sandy, Utah. You can contact this provider via phone number 8019420098. The mailing address for Dean M Kennington is 9314 Alvey Ln, Sandy, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Dean M Kennington
Address 9314 Alvey Ln, Sandy, Utah
Phone Number 8019420098
Fax Number
Sole Proprietor X
Credentials LCSW

NPI Number Detail

NPI Number 1043296601
Provider Enumeration Date 2005-12-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9314 Alvey Ln
City Sandy
State Utah (UT)
Post Code 840932662
Phone Number 8019420098
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 118629-3501
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20793 UT DESERET MUTUAL
107001380101 UT INTRMTN.HEALTHCARE
R79756 UT MEDICAR ADVANTAGE PLANS

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FAQs about Dean M Kennington

What is the Dean M Kennington's unique identification number?

The Dean M Kennington has been assigned the NPI (National Provider Identifier) Number 1043296601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Dean M Kennington is located?

The Dean M Kennington is situated at the following address: 9314 Alvey Ln, Sandy, UT, 840932662.

What is the Dean M Kennington's area of specialization and corresponding taxonomy classification?

The Dean M Kennington's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date was the 1043296601 assigned to Dean M Kennington?

The Dean M Kennington was issued its 1043296601 on 2005-12-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Dean M Kennington most recently updated?

The details pertaining to the Dean M Kennington, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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