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Kraig Packer, NPC
NPI 1518959535 · on the registry since 2005
Practice
- Address
- 3339 Cherokee Ln
Provo, UT 84604 - Phone
- (801) 803-0877
Additional practice sites
- 1175 E 50 S Ste 251, American Fork, UT
- 972 N 600 E, Spanish Fork, UT
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363L00000X
363L00000X - Licence states on file
- UT, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-09
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