| Dr. Christy Kane Llc | |
|
5455 W 11000 N Ste 204 Highland UT 84003-8802 | |
| (801) 735-5971 | |
| Not Available |
| Full Name | Dr. Christy Kane Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5455 W 11000 N Ste 204, Highland, Utah |
| Authorized Official Name and Position | Christy Peck Kane (CEO) |
| Authorized Official Contact | 8017355971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Christy Kane Llc 9722 N 5650 W Highland UT 84003-3533 Ph: (801) 735-5971 | Dr. Christy Kane Llc 5455 W 11000 N Ste 204 Highland UT 84003-8802 Ph: (801) 735-5971 |
| NPI Number | 1962087635 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962087635 | NPI | - | NPPES |
| 5716781-6004 | Other | UT | CMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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