Individual
KELLI DRU WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
500 FOOTHILL DR, SLC, UT 84148-0001
(801) 582-1565
Mailing address
1248 E YALE AVE, SALT LAKE CITY, UT 84105-1517
(801) 599-6146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9798338-4409
UT
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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