NICOLE KELLY, P.A.-C
Physician Assistant
Active
Individual
NPI: 1013312339
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 9190865-1206 (UT) |
Frequently Asked Questions
NPI 1013312339 is the National Provider Identifier for NICOLE KELLY, P.A.-C, a Physician Assistant provider located in Draper, UT. This NPI was enumerated on October 29, 2014.
NICOLE KELLY, P.A.-C practices at 12340 S 450 E, Draper, UT 84020.
Quick Facts
- NPI
- 1013312339
- Type
- Individual
- Enumerated
- Oct 29, 2014
- Last Updated
- Aug 1, 2016
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