Individual
KELSEY BYWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1041 S MEDICAL DR STE 200, BRIGHAM CITY, UT 84302-3293
(435) 723-5248
(435) 723-5240
Mailing address
1041 S MEDICAL DR STE 200, BRIGHAM CITY, UT 84302-3293
(435) 723-5248
(435) 723-5240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
337245-3102
UT
Other
Enumeration date
06/14/2017
Last updated
04/17/2026
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