# VIRTUAL WELLNESS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407793805
- **Authorized official:** KAITLIN CONNOLLY DNP (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (801) 871-9168

## Contact information

- **Practice address:** 1038 WEST 8780 SOUTH, WEST JORDAN, UT 84088
- **Practice address phone:** (801) 871-9168
- **Practice address fax:** (801) 780-3082
- **Mailing address:** 1038 WEST 8780 SOUTH, WEST JORDAN, UT 84088
- **Mailing address phone:** (801) 871-9168
- **Mailing address fax:** (801) 780-3082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2026
- **Last updated:** 05/02/2026