Individual
BRETT KEITH MCKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0039
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12304861-3503
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/23/2019
Last updated
04/26/2023
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