Doctor Name: | MR. KENNETH LYNN HULL |
NPI Number: | 1144559857 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.P.C. |
License Number: | 5021920-6004 |
Business Practice Address: | 1038 W Fox Hollow Dr North Salt Lake, UT - 840546008 |
Business Phone Number: | 8018910400 |
Business Fax Number: | 8012980846 |
Mailing Address: | Po Box 540724, NORTH SALT LAKE |
State: | UT |
Postal Code: | 840540724 |
Phone Number: | 8018910400 |
Fax Number: | 8012980846 |
NPI Enumeration Date: | 12/09/2009 |
NPI Last Update Date: | 12/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5021920-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |