Individual
KAYLA ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
40 N 200 W, LEHI, UT 84043-1714
(740) 739-0989
Mailing address
261 E 100 N, AMERICAN FORK, UT 84003-1740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12038421-3102
UT
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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