KYUNGHEE SEO K MENTAL HEALTH CLINIC


Address: 1160 S State St Ste 160a, Orem, UT 84097-8263
Phone: 8016022645

KYUNGHEE SEO K MENTAL HEALTH CLINIC (NPI# 1750928214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750928214
Entity Type Organization
Organization Name KYUNGHEE SEO K MENTAL HEALTH CLINIC
Other Organization Name K MENTAL HEALTH CLINIC
Practice Address 1160 S State St Ste 160a
Orem
UT 84097-8263
Practice Telephone 8016022645
Mailing Telephone 8016022645
Enumeration Date 2019-12-04
Last Update Date 2020-05-27
Authorized Official Name KYUNGHEE SEO (MS. K)
Authorized Official Telephone 8016022645
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
k mental health clinic Former Legal Business Name - Organization

Office Location

Street Address 1160 S STATE ST STE 160A
City OREM
State UT
Zip Code 84097-8263

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City OREM
Zip Code 84097

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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