Individual
MRS. KELLY JEAN BRINKERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2408 VAN BUREN AVE, OGDEN, UT 84401-2712
(801) 778-6277
Mailing address
2294 S 4075 W, WEST HAVEN, UT 84401-7128
(801) 628-2532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5858437-4405
UT
Other
Enumeration date
10/05/2017
Last updated
09/26/2021
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