Individual
NICOLE KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
(801) 336-1787
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
(801) 336-1787
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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