Individual
KATHERINE DENISE KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
315 S 100 E, PROVO, UT 84606-4649
(801) 851-8517
Mailing address
315 S 100 E, PROVO, UT 84606-4649
(801) 851-8517
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
192852-4405
UT
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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