Individual
KELLY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN-CNP, FNP-C
Contact information
Practice address
1250 E 3900 S STE 260, SALT LAKE CITY, UT 84124-1371
(801) 265-2000
(801) 265-2008
Mailing address
1250 E 3900 S STE 260, SALT LAKE CITY, UT 84124-1371
(801) 265-2000
(801) 265-2008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10681922-4405
UT
Other
Enumeration date
02/28/2024
Last updated
12/23/2025
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