Healthcare Provider Details

I. General information

NPI: 1962460675
Provider Name (Legal Business Name): KENSINGTON SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 10/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 S 1680 W
OREM UT
84058-4939
US

IV. Provider business mailing address

1215 S 1680 W
OREM UT
84058-4939
US

V. Phone/Fax

Practice location:
  • Phone: 801-224-5600
  • Fax: 801-224-4246
Mailing address:
  • Phone: 801-224-5600
  • Fax: 801-224-4246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. IAN M DAWE
Title or Position: CHIEF OPERATING OFFICER
Credential: R.N.
Phone: 801-224-5600