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Kennedy Bustamante
NPI 1104671130 · on the registry since 2024
Practice
- Address
- 6856 S 700 E
Midvale, UT 84047 - Phone
- (801) 743-6100
- Clinicians at this address
- 37
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah