Provider Demographics
NPI:1356739627
Name:KAYYALI, REMA
Entity type:Individual
Prefix:
First Name:REMA
Middle Name:
Last Name:KAYYALI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6976 S BOULDER DR
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6623
Mailing Address - Country:US
Mailing Address - Phone:385-222-9059
Mailing Address - Fax:
Practice Address - Street 1:6976 S BOULDER DR
Practice Address - Street 2:
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84121-6623
Practice Address - Country:US
Practice Address - Phone:385-222-9059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter