Individual
KELSEY WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-2460
Mailing address
485 W CENTER ST, LOGAN, UT 84321-4425
(801) 828-7809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78793063102
UT
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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