Individual provider · Type 1 NPI

Ryan Conrad Kidrick

Peer Specialist · Salt Lake City, UT

NPI number 1083430680 Active

Practice location

117 W 400 S
Salt Lake City, UT 84101-1916

Call (801) 428-4257 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1083430680

Ryan Conrad Kidrick's National Provider Identifier is 1083430680, issued on Nov 27, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 30, 2026.