Tyler Quinn Kellis

NPI #1790513703 in Salt Lake City, Utah

Provider Information

NPI Number
1790513703
Entity Type
Individual
Name
Tyler Quinn Kellis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Voluntary or Charitable
Enumeration Date
Jul 22, 2024
Last Updated
Jul 22, 2024

Practice Location

Address
30 N 1900 E
State
Utah
ZIP Code
84132-0002
Phone
(623) 236-5895

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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