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General NPI Number Information
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NPI Number | 1427848472
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Entity Type | Organization
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Legal Business Name | KW PROVIDER SOLUTIONS
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 8177 S HIGH SUMMIT CIR
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City | WEST JORDAN
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State | UT
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Zip | 84088-5936
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Country | US
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Telephone | 801-819-9862
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Fax | 800-830-3093
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Provider Business Mailing Address
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Address Line | 3731 W SOUTH JORDAN PKWY STE 102-111
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-5632
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Country | US
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Telephone | 801-302-9272
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Fax | 800-830-3093
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Authorized Official
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Title or Position | OWNER
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Name | KAILEE WELLS
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Credential |
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Telephone | 801-819-9862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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