SearchUtah1041C0700X

Kerry Fannin, CSW

NPI 1700277894 · on the registry since 2015 · sole proprietor

Practice

Address
4734 W 12400 S
Payson, UT 84651
Phone
(661) 317-6067

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-02-10

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