Individual
KAITLIN BREANN BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8375904-3102
UT
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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