Individual
MARTHA REESE KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, CWON
Contact information
Practice address
8 TH AVENUE & C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-5663
Mailing address
1201 E EMERSON AVE, SALT LAKE CITY, UT 84105-2529
(801) 856-8778
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
288297-3102
UT
163WW0000X
Wound Care Registered Nurse
288297-3102
UT
163WX1500X
Ostomy Care Registered Nurse
288297-3102
UT
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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