Individual
JANET D KIESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
241 NORTH VINE ST, #1103 WEST, SALT LAKE CITY, UT 84103
(574) 252-9520
(574) 258-4278
Mailing address
241 NORTH VINE ST, #1103 WEST, SALT LAKE CITY, UT 84103
(574) 252-9520
(574) 258-4278
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002036A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200806270
—
IN
Enumeration date
05/23/2006
Last updated
06/26/2023
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