Individual
MRS. KELLY CROSS IMLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1857 N 1000 W STE 1, CLINTON, UT 84015-8969
(801) 745-5794
Mailing address
1857 N 1000 W STE 1, CLINTON, UT 84015-8969
(801) 745-5794
(610) 273-5812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
196456-4405
UT
Other
Enumeration date
08/17/2023
Last updated
03/31/2026
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