Individual
KALLIE POTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 S 2000 W UNIT 18A, PLEASANT GROVE, UT 84062-3885
(801) 382-8645
(866) 531-4109
Mailing address
1532 W 10 S, PLEASANT GROVE, UT 84062-6713
(208) 881-4357
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
11590992-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
11590992-4405
UT
Other
Enumeration date
05/09/2025
Last updated
08/17/2025
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