Individual
PATTY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6856 S 700 E, MIDVALE, UT 84047-1361
(801) 743-6100
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5427
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
F24-114353
UT
172V00000X
Community Health Worker
Primary
—
UT
Other
Enumeration date
05/13/2024
Last updated
07/31/2024
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