Individual
KELSEY UDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10433 S REDWOOD RD, SOUTH JORDAN, UT 84095-8502
(801) 664-3585
Mailing address
13348 S MARKET CENTER DR STE 100, RIVERTON, UT 84065-8009
(801) 923-6330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11473563-1206
UT
Other
Enumeration date
10/11/2018
Last updated
12/03/2022
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