Kelly, Nicole

Kelly, Nicole is an individual health care provider with primary practice located at 12340 S 450 E , Draper UT 84020-8154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kelly, Nicole can be contacted via phone (801) 501-9797.

Contact Information

Primary practice address
12340 S 450 E Draper UT 84020-8154
Phone: (801) 501-9797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9190865-1206 Utah

Profile Details

NPI number 1013312339
LBN Legal business name Kelly, Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2014
Last updated Aug 1st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers