Nicole Kelly, P.A.-C

NPI #1013312339 in Draper, Utah

Provider Information

NPI Number
1013312339
Entity Type
Individual
Name
Nicole Kelly, P.A.-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.-C
Enumeration Date
Oct 29, 2014
Last Updated
Aug 1, 2016

Practice Location

Address
12340 S 450 E
City
Draper
State
Utah
ZIP Code
84020-8154
Phone
(801) 501-9797

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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