TYLER KELLIS

Voluntary or Charitable

Active Individual
NPI: 1790513703

Practice Address

30 N 1900 E
Salt Lake City, UT 84132

Phone: (623) 236-5895

Specialties

Specialty Code Primary License
Voluntary or Charitable 251V00000X Yes -

Frequently Asked Questions

NPI 1790513703 is the National Provider Identifier for TYLER KELLIS, a Voluntary or Charitable provider located in Salt Lake City, UT. This NPI was enumerated on July 22, 2024.
TYLER KELLIS practices at 30 N 1900 E, Salt Lake City, UT 84132.

Quick Facts

NPI
1790513703
Type
Individual
Enumerated
Jul 22, 2024
Last Updated
Jul 22, 2024

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