Individual
KELSEY TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5983 S REDWOOD RD, TAYLORSVILLE, UT 84123-5261
(385) 800-3015
Mailing address
5983 S REDWOOD RD, TAYLORSVILLE, UT 84123-5261
(385) 800-3015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14224313-3102
UT
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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