Individual
KEISHALEI HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2830 S REDWOOD RD STE A, WEST VALLEY CITY, UT 84119-5626
(385) 303-4592
Mailing address
273 E 1850 N UNIT 40, NORTH OGDEN, UT 84414-3099
(435) 919-6556
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
11822477-3102
UT
163WH0200X
Home Health Registered Nurse
Primary
11822477-3102
UT
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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