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1518307669
BRIAN M KELLY
SALT LAKE CITY, UT
NPI
1518307669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5128554-4405)
Enumeration Date
2013-07-02
Last Update Date
2021-11-03
Business Address
Mr. BRIAN M KELLY APRN, FNP
1525 W 2100 S
SALT LAKE CITY, UT 84119-1401
Phone number: 801-213-9900
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Mailing Address
Mr. BRIAN M KELLY APRN, FNP
PO BOX 510708
SALT LAKE CITY, UT 84151-0708
Phone number: 801-213-3900
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