Kip Allan Landon is a Clinical in Provo, Utah. Kip Allan Landon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kip Allan Landon is 1578739017. The last update date is 2017-01-26.
Kip Allan Landon's current location address is 750 N 200 W, Provo, Utah. You can contact this provider via phone number 8013734760. The mailing address for Kip Allan Landon is 750 N 200 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kip Allan Landon |
|---|---|
| Address | 750 N 200 W, Provo, Utah |
| Phone Number | 8013734760 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSWI |
NPI Number Detail
| NPI Number | 1578739017 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2017-01-26 |
Provider Mailing Address Detail
| Address | 750 N 200 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846011677 |
| Phone Number | 8013734760 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 70079313-350 |
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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 |
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What is the Kip Allan Landon's unique identification number?
The Kip Allan Landon has been assigned the NPI (National Provider Identifier) Number 1578739017 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kip Allan Landon's physical address?
The Kip Allan Landon is physically located at 750 N 200 W, in the city of Provo, UT, with the postal code 846011677.
What is Kip Allan Landon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kip Allan Landon's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1578739017 assigned to Kip Allan Landon?
The Kip Allan Landon was issued its 1578739017 on 2008-05-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kip Allan Landon's information last updated?
The Kip Allan Landon's information was last updated on 2017-01-26.