Individual
KELLY GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
900 ROUND VALLEY DR STE 110, PARK CITY, UT 84060-7552
(435) 633-3353
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11092359-4901
UT
Other
Enumeration date
04/16/2025
Last updated
05/14/2025
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