Individual
KRISTEN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E RM 5C402, SALT LAKE CITY, UT 84132-0002
(801) 585-6387
Mailing address
30 N 1900 E RM 5C402, SALT LAKE CITY, UT 84132-0002
(801) 585-6387
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
11284192-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/29/2016
Last updated
08/02/2022
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