Individual
MRS. KELLY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. D.
Contact information
Practice address
295 S CHIPETA WAY, SUITE 248, SALT LAKE CITY, UT 84108-1287
(801) 213-3778
(801) 587-3001
Mailing address
295 S CHIPETA WAY, SUITE 248, SALT LAKE CITY, UT 84108-1287
(801) 213-3778
(801) 587-3001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3637234901
UT
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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