Kelly Distefano
NPI #1851021018 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1851021018
- Entity Type
- Individual
- Name
- Kelly Distefano
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Maternal Newborn
- Enumeration Date
- Jun 12, 2022
- Last Updated
- Jun 12, 2022
Practice Location
- Address
- 50 N MEDICAL DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84132-0001
- Phone
- (801) 581-2953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Maternal Newborn — Maternal Newborn |
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