Terry, Kayleen

Terry, Kayleen is an individual health care provider with primary practice located at 5323 Woodrow St Ste 102, Murray UT 84107-5841. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Terry, Kayleen can be contacted via phone (801) 713-1010.

Contact Information

Primary practice address
5323 Woodrow St Ste 102 Murray UT 84107-5841
Phone: (801) 713-1010
Fax: (801) 713-0665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 150335-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 150335-4405 Utah

Profile Details

NPI number 1992828958
LBN Legal business name Terry, Kayleen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Apr 21st, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992828958 NPPES
Utah Other 000057906 GROUP PIN
Utah Other UT03672 GROUP PIN

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