Individual
LEE KILPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
673 PARKWAY DR, NORTH SALT LAKE, UT 84054-2607
(435) 730-0648
Mailing address
673 PARKWAY DR, NORTH SALT LAKE, UT 84054-2607
(435) 730-0648
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
287573-8900
UT
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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