Individual
CON KALEB NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
555 W SR 164, SALEM, UT 84653-8465
(801) 465-4896
(801) 465-0606
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
93965884405
UT
Other
Enumeration date
09/15/2022
Last updated
02/10/2023
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