Individual provider · Type 1 NPI

Kendon Jacob Holdaway

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1306674288 Active

Practice location

27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888

Call (801) 581-7498 Map

Mailing address

461 W 13490 S Apt B112
Draper, UT 84020-7230

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306674288

Kendon Jacob Holdaway's National Provider Identifier is 1306674288, issued on Jul 23, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 23, 2024.