Individual
KAYLEEN HALL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3485 W 5200 S, ROY, UT 84067-9438
(801) 475-3900
(801) 475-3901
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3900
(801) 475-3901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
374515-4405
UT
Other
Enumeration date
12/13/2010
Last updated
01/17/2017
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