| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KURT LOUIS CANDALOT | 1881293264 | 2020-10-18 |
Kurt Louis Candalot is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881293264. Registration indicates Kurt Louis Candalot is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Kurt Louis Candalot |
| Practice Office Address | 750 N FREEDOM BLVD PROVO, UT US |
| Practice Office Telephone | 8013734760 |
| Practice Office Fax | 8013730639 |
| Mailing Address | 750 N FREEDOM BLVD PROVO, UT 84601 US |
| Business Telephone | 8013734760 |
| Business Fax | 8013730639 |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |