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General NPI Number Information
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NPI Number | 1538014972
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Entity Type | Organization
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Legal Business Name | KINETIC HEALTH PLLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 741 W SMELTER ST
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City | MIDVALE
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State | UT
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Zip | 84047-7111
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Country | US
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Telephone | 801-810-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 3224 W NEW WORLD DR
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City | WEST JORDAN
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State | UT
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Zip | 84084-2703
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Country | US
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Telephone | 801-810-7070
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN/OWNER
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Name | RICHARD MATTHEW WINN
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Credential | DC
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Telephone | 801-810-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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