Kody K Burrell
Individual provider Active NPI Counselor · Clearfield, UT
NPI 1134430903 · NPPES record last updated Jun 28, 2010
Key facts
- NPI
- 1134430903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 370 S 500 E Ste 135
Clearfield, UT 84015-4001 - Phone
- (801) 391-0896
- NPI assigned
- Jun 28, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Health Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
370 S 500 E Ste 135
Clearfield, UT 84015-4001
Mailing address
370 S. 500 E. #135
Clearfield, UT 84015
Phone (801) 391-0896
Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.