Search › Utah › 1041C0700X

Evangeline King

NPI 1376293811 · on the registry since 2022 · sole proprietor

Practice

Address
411 N Grant St
Salt Lake City, UT 84116
Phone
(801) 359-8862
Clinicians at this address
16

Additional practice sites

  • 955 W 3300 S, South Salt Lake, UT

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
171M00000X
172V00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah