Individual
KAYLEY MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2730
Mailing address
6622 S ROYAL HARVEST WAY APT 31, SALT LAKE CITY, UT 84121-6874
(208) 863-5550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10668591-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2021
Last updated
06/22/2023
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