Organization · Type 2 NPI

Kick the Habit Addiction Medicine, LLC

Medical Specialty Clinic/Center · American Fork, UT

NPI number 1780154195 Active

Practice location

74 S 360 E
American Fork, UT 84003-2590

Fax (844) 240-9439

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

About NPI 1780154195

Kick the Habit Addiction Medicine, LLC's National Provider Identifier is 1780154195, issued on Nov 28, 2018. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in American Fork, UT. The record was last updated on Mar 5, 2019.