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Individual

KELLY JO PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
8686 S 1300 E, SANDY, UT 84094-1947
(801) 997-0368
Mailing address
2426 N 840 W, LEHI, UT 84043-3404
(801) 404-4942

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7964962-4405
UT

Other

Enumeration date
11/06/2023
Last updated
11/12/2023
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