Individual
KELLIE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3723 W 12600 S STE 360, RIVERTON, UT 84065-7296
(801) 285-4700
(801) 285-4701
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
11330909-3102
UT
367A00000X
Advanced Practice Midwife
Primary
11330909-4405
UT
Other
Enumeration date
06/18/2021
Last updated
03/28/2023
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