Diana M Kelly

NPI #1003307604 in Park City, Utah

Provider Information

NPI Number: 1003307604
Entity Type: Individual
Name: Diana M Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: May 21, 2018
Last Updated: May 21, 2018

Practice Location

Address: 1753 SIDEWINDER DR
City: Park City
State: Utah
ZIP Code: 84060-7322
Phone: (435) 649-8347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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