Individual
DR. KELLI CHRISTINE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8TH AVENUE C STREET, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Mailing address
8TH AVENUE C STREET, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12324761-1205
UT
Other
Enumeration date
03/31/2017
Last updated
01/24/2022
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