Mary Danielle Kuykendall, PMHNP, APRN | |
60 E 3750 S, South Salt Lake, UT 84115-4428 | |
(801) 486-0911 | |
(801) 262-3709 |
Full Name | Mary Danielle Kuykendall |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 60 E 3750 S, South Salt Lake, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1609556596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 77110 (Idaho) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 8658127-4405 (Utah) | Primary |
Entity Name | Boundary Regional Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538447727 PECOS PAC ID: 2264341221 Enrollment ID: O20050211000195 |
Mailing Address | Practice Location Address |
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Mary Danielle Kuykendall, PMHNP, APRN Po Box 850, Oakley, UT 84055-0801 Ph: (801) 696-2444 | Mary Danielle Kuykendall, PMHNP, APRN 60 E 3750 S, South Salt Lake, UT 84115-4428 Ph: (801) 486-0911 |
Jennifer Michelle Sorto, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186 | |
Jennifer Nicole Twohig, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186 | |
Adam Thomas Creer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2880 S Main St Ste 108, South Salt Lake, UT 84115 Phone: 240-356-1000 | |
Kristen Cox, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 E Farmer Alumni Dr, South Salt Lake, UT 84106 Phone: 385-227-2897 | |
Zhan Wang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186 | |
Leigh-andrew Thomas Sampson-seitz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3269 S Main St Ste 220, South Salt Lake, UT 84115 Phone: 801-656-7124 Fax: 385-243-3021 | |
Dr. Emily Elizabeth Barrows, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846 |