Individual
KELSEY DESALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2550
(385) 282-2551
Mailing address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0060605
CO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
112465191205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2014
Last updated
08/07/2019
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