NICOLE KELLY

DRAPER, UT
NPI1013312339
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  9190865-1206)
Enumeration Date2014-10-29
Last Update Date2016-08-01
Business Address
-- NICOLE KELLY P.A.-C
12340 S 450 E
DRAPER, UT 84020-8154
Phone number: 801-501-9797
Mailing Address
-- NICOLE KELLY P.A.-C
8899 S 700 E SUITE 250
SANDY, UT 84070-1810
Phone number: 801-613-2711