Individual
JACQUELINE S SILKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
192 S. MAIN ST, KAYSVILLE, UT 84037
(801) 882-2200
Mailing address
2012 HILL ST, KAYSVILLE, UT 84037
(801) 882-2200
(907) 212-6593
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
26342
AZ
208600000X
Surgery Physician
Primary
89723581205
UT
390200000X
Student in an Organized Health Care Education/Training Program
6244
AK
Other
Enumeration date
12/17/2009
Last updated
12/11/2014
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