# KDM HEALTH SERVICES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538481080
- **Authorized official:** KELLIE MCFALL APRN (OWNER)
- **Authorized official phone:** (801) 631-6161

## Contact information

- **Practice address:** 11383 PORTOBELLO RD, SOUTH JORDAN, UT 84095-7974
- **Practice address phone:** (801) 561-8398
- **Practice address fax:** (801) 302-0645
- **Mailing address:** PO BOX 1009, RIVERTON, UT 84065-1009
- **Mailing address phone:** (801) 561-8398
- **Mailing address fax:** (801) 302-0645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 322464-4405 | UT | Yes |

## Other

- **Enumeration date:** 02/25/2010
- **Last updated:** 02/25/2010