Individual
KELLY PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
470 E 3900 S STE 200, SALT LAKE CITY, UT 84107-2332
(801) 747-2800
Mailing address
1302 N 900 W, OREM, UT 84057-2900
(801) 360-6247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10418364-1206
UT
363A00000X
Physician Assistant
Primary
104183641206
UT
Other
Enumeration date
11/13/2017
Last updated
11/11/2021
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