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Individual

MICHAEL KILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9540
Mailing address
4013 W 1040 N # MM304, LEHI, UT 84048-7668
(801) 633-3347

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7789027
UT
1835C0205X
Critical Care Pharmacist
7789027
UT
1835E0208X
Emergency Medicine Pharmacist
7789027
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295825800
UT
05
1386719821
UT
Enumeration date
06/30/2025
Last updated
06/30/2025
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