Individual
KAYLA WHITLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 428-4257
Mailing address
1714 W CHATEAU AVE, TAYLORSVILLE, UT 84129-1312
(385) 253-2751
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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