KELLY R AVERETT

SALT LAKE CITY, UT
NPI1306198924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  4850503-1206)
Enumeration Date2012-10-05
Last Update Date2025-02-20
Business Address
KELLY R AVERETT PA-C
1200 E 3900 S UNIT G175
SALT LAKE CITY, UT 84124-1300
Phone number: 801-268-7405
Mailing Address
KELLY R AVERETT PA-C
PO BOX 100253
ATLANTA, GA 30384-0253
Phone number:
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