IndividualActive
Jamie Kingdon
NPI 1023549268 · Prevention Professional · North Salt Lake, UT
Provider details
- NPI number
- 1023549268
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 119740-2401 (UT)
Specialties & taxonomies
Other Service Providers
Practice location
652 Eaglepointe Dr
North Salt Lake, UT 84054-2643
Phone: (801) 638-7785
Approximate (ZIP-level) locationGet directions
Mailing address
652 Eaglepointe Dr
North Salt Lake, UT 84054-2643
Registry dates
- Enumerated
- 2017-03-21
- Last updated
- 2017-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.