Individual
KIRA SUE WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9400
Mailing address
4032 W LAUREL RIDGE DR, WEST JORDAN, UT 84088-6320
(801) 870-4332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7799011-4405
UT
363LP2300X
Primary Care Nurse Practitioner
7799011-4405
UT
Other
Enumeration date
02/11/2020
Last updated
12/17/2021
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