Individual
DR. KYLEE RAE MALIWAUKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, NP-C
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
Mailing address
51 E 630 N, VINEYARD, UT 84059-6562
(435) 773-3320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9414127-4405
UT
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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