Individual
KELLY REESE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12371 S 900 E STE 101, DRAPER, UT 84020-9834
(801) 544-2355
Mailing address
12371 S 900 E STE 101, DRAPER, UT 84020-9834
(801) 544-2355
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
10595795-1202
UT
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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