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Individual

KELLI J HURLBURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
10000 S CENTENNIAL PKWY STE 235, SANDY, UT 84070-4148
(801) 568-4664
(801) 568-4665
Mailing address
10000 S CENTENNIAL PKWY STE 235, SANDY, UT 84070-4148
(801) 568-4664
(801) 568-4665

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7061916-1204
UT
207Q00000X
Family Medicine Physician
DO152388
OR

Other

Enumeration date
08/01/2007
Last updated
06/22/2017
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