Kendra Eileen Hafen
Individual provider Active NPI Other Technician · Kanab, UT
NPI 1992930077 · NPPES record last updated May 19, 2009
Key facts
- NPI
- 1992930077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 310 S 100 E
Suite 11
Kanab, UT 84741-3632 - Phone
- (435) 644-4520
- Fax
- (435) 644-4524
- NPI assigned
- May 19, 2009
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
310 S 100 E
Suite 11
Kanab, UT 84741-3632
Mailing address
310 S 100 E
Suite 11
Kanab, UT 84741-3632
Phone (435) 644-4520
Other providers in Kanab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2009. 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.