Individual
KAYLA RHENEA CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
495 S 900 W APT 303, PLEASANT GROVE, UT 84062-2384
(662) 891-8076
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
12879772-3101
UT
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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