Organization
KELSEY KIM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELSEY KIM BARRUS LCSW (CLINICAL THERAPIST/OWNER)
(801) 900-3765
Entity
Organization
Contact information
Practice address
2317 N HILL FIELD RD STE 103, LAYTON, UT 84041-4782
(801) 900-3765
Mailing address
2317 N HILL FIELD RD STE 103, LAYTON, UT 84041-4782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
70870873501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629197447
—
UT
Enumeration date
01/05/2015
Last updated
01/05/2015
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