Individual
KELLY GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD, LD
Contact information
Practice address
5263 S COMMERCE DR STE 201, SALT LAKE CITY, UT 84107-5306
(801) 882-7802
Mailing address
5263 S COMMERCE DR STE 201, SALT LAKE CITY, UT 84107-5306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12415870-4901
UT
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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