Kacey Davidson
NPI #1093436149 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1093436149
- Entity Type
- Individual
- Name
- Kacey Davidson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Sep 7, 2022
- Last Updated
- Sep 7, 2022
Practice Location
- Address
- 4460 S HIGHLAND DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84124-3543
- Phone
- (888) 949-4864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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