Individual
MRS. KECIA K FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2355 HIGHWAY 36 W, ROSEVILLE, MN 55113-3902
(810) 471-8522
Mailing address
1065 W BLUE MOUNTAIN RD, WASHINGTON, UT 84780-1325
(801) 471-8522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10643992-4405
UT
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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