Kevin James Crockett
NPI #1932616695 in Saratoga Springs, Utah
Provider Information
- NPI Number
- 1932616695
- Entity Type
- Individual
- Name
- Kevin James Crockett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jan 3, 2018
- Last Updated
- Jan 3, 2018
Practice Location
- Address
- 30 E HUNTERS HVN
- City
- Saratoga Springs
- State
- Utah
- ZIP Code
- 84045-8169
- Phone
- (801) 400-9616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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