Individual
KIMBERLEE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 E 2100 S STE 3, SALT LAKE CITY, UT 84106-2680
(801) 438-6355
Mailing address
2348 W RED PINE RD, PARK CITY, UT 84098-6751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13457655-9922
UT
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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