Individual
MS. KELLY LARRABEE SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2291
Mailing address
PO BOX 510726, SALT LAKE CITY, UT 84151-0726
(801) 587-6600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5382219-1206
UT
Other
Enumeration date
08/05/2006
Last updated
08/30/2013
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