Healthcare Provider Details

I. General information

NPI: 1902285265
Provider Name (Legal Business Name): KARI HOWARD RCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2015
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8785 S JORDAN VALLEY WAY
WEST JORDAN UT
84088-9772
US

IV. Provider business mailing address

8785 S JORDAN VALLEY WAY
WEST JORDAN UT
84088-9772
US

V. Phone/Fax

Practice location:
  • Phone: 801-890-7779
  • Fax: 801-820-4556
Mailing address:
  • Phone: 801-890-7779
  • Fax: 801-820-4556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number7003622-5701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: