Individual
MS. KELLI JAN FIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS; PA-C
Contact information
Practice address
4815 S CENTER ST, MURRAY, UT 84107-4814
(801) 262-2443
(801) 262-8869
Mailing address
4815 S CENTER ST, MURRAY, UT 84107-4814
(801) 262-2443
(801) 262-8869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7474871-1206
UT
Other
Enumeration date
12/09/2009
Last updated
07/21/2022
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