Individual
KELLY LAFORGE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
555 FOOTHILL DR, SALT LAKE CITY, UT 84112-1106
(801) 581-8000
Mailing address
375 CHIPETA WAY, SALT LAKE CITY, UT 84108-1260
(801) 587-3411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6851254-1204
UT
Other
Enumeration date
04/23/2008
Last updated
12/17/2021
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