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Keanon Battle
NPI 1417774050 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2020 S 1300 E Ste C
Salt Lake City, UT 84105 - Phone
- (801) 401-3515
- Organisation at this address
- Gsded, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-24
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