Individual
TAYLOR ANNE KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
30 N 1900 E # 5R218, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10165873-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10165873-4405
UT
Other
Enumeration date
06/01/2020
Last updated
12/11/2022
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