Individual
MR. KELLY MORRIS THORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1055 N 300 W STE 104, PROVO, UT 84604-3381
(801) 379-6700
Mailing address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-6600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
351491-4405
UT
Other
Enumeration date
05/02/2007
Last updated
10/24/2024
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