Individual
KELLIE J ULM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4460 HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(801) 273-6366
Mailing address
5837 S 2325 W, ROY, UT 84067-1509
(801) 773-7049
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2154253102
UT
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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