IndividualActive
Kenwyn Derby
NPI 1700495652 · Clinical Social Worker · West Valley City, UT
Provider details
- NPI number
- 1700495652
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2655 S Lake Erie Dr
West Valley City, UT 84120-7350
Phone: (801) 441-4900
Approximate (ZIP-level) locationGet directions
Mailing address
882 E Millbrook Way
Bountiful, UT 84010-2053
Registry dates
- Enumerated
- 2020-07-27
- Last updated
- 2020-07-27
- Certified
- 2020-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.