Crissy Judd

Individual provider Active NPI Other Technician · Kanab, UT

NPI 1376843045 · NPPES record last updated Oct 28, 2010

Key facts

NPI
1376843045
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
445 N Main St
Kanab, UT 84741-3250
Phone
(435) 676-2599
Fax
(435) 676-2585
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

445 N Main St
Kanab, UT 84741-3250

Mailing address

445 N Main St
Kanab, UT 84741-3250
Phone (435) 676-2599

Other providers in Kanab, UT

All providers in Kanab, UT · Other Technician in Utah

Sources for this page

Verify at the official NPI Registry.