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NPI Code Detail

MEDICARE: KIAH VENZON

MEDICARE: KIAH VENZON
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
1235Z00000XSpeech-Language Pathologist12328657-4102UT

General Provider Information

NPI Number : 1821946385
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIAH VENZON
Provider Business Mailing Address
First Line : 1430 E 4500 S
Second Line :
City : MILLCREEK
State : UT
Zip : 84117-4208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1430 E 4500 S
Second Line :
City : MILLCREEK
State : UT
Zip : 84117-4208
Country : US
Telephone Number : 385-217-9422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ KIAH VENZON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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