Individual
KELLY PRESNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
(801) 525-8151
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
6497915-4405
UT
363L00000X
Nurse Practitioner
Primary
6497915-4405
UT
363LF0000X
Family Nurse Practitioner
6497915-4405
UT
Other
Enumeration date
02/16/2017
Last updated
02/10/2020
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