| Kmk Family Services, Inc | |
|
5620 S Waterbury Way Ste A206 Salt Lake City UT 84121-6206 | |
| (801) 201-7050 | |
| (801) 274-0411 |
| Full Name | Kmk Family Services, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5620 S Waterbury Way Ste A206, Salt Lake City, Utah |
| Authorized Official Name and Position | Kathleen Kaloudis (PRESIDENT) |
| Authorized Official Contact | 8012017050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kmk Family Services, Inc Po Box 17864 Salt Lake City UT 84117-0864 Ph: (801) 201-7050 | Kmk Family Services, Inc 5620 S Waterbury Way Ste A206 Salt Lake City UT 84121-6206 Ph: (801) 201-7050 |
| NPI Number | 1184127144 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 03/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184127144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6521299-6004 (Utah) | Primary |
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