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NPI Code Detail

MEDICARE: R&K MARCROFT, INC

MEDICARE: R&K MARCROFT, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
21041C0700XClinical Social Worker377874-3501UT

General Provider Information

NPI Number : 1255818233
Entity Type Code : Organization
Provider Name (Legal Business Name) : R&K MARCROFT, INC
Provider Business Mailing Address
First Line : 11618 S STATE ST STE 1603
Second Line :
City : DRAPER
State : UT
Zip : 84020-7123
Country : US
Telephone Number : 435-668-0832
Fax Number : 801-930-5739
Provider Business Practice Location Address
First Line : 11618 S STATE ST STE 1604
Second Line :
City : DRAPER
State : UT
Zip : 84020-7123
Country : US
Telephone Number : 801-988-9807
Fax Number : 801-930-5739
Authorized Official
Title or Position : OWNER
Name : MRS. KYNDEL MARCROFT
Credential : LCSW
Telephone Number : 435-668-0832
Provider Enumeration Date : 07/23/2018
Last Update Date : 11/03/2023

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Directions to “R&K MARCROFT, INC ” Practice Location

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