Individual
MELISSA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 PROFESSIONAL WAY STE 2, PAYSON, UT 84651-1680
(801) 465-4896
(801) 465-4107
Mailing address
1055 N 500 W, ATT CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
281902-4405
UT
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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