Individual
KELSEY MARIE BENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8TH AVE C ST, SALT LAKE CITY, UT 84143-0002
(801) 408-5556
Mailing address
PO BOX 27128, SLC, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
94234213102
UT
363L00000X
Nurse Practitioner
Primary
9423421-4405
UT
363LA2100X
Acute Care Nurse Practitioner
2020131612
UT
363LA2200X
Adult Health Nurse Practitioner
9423421-4405
UT
Other
Enumeration date
05/04/2021
Last updated
04/22/2026
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