Individual
KERIANN MARIE SCHULKERS ESCALANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7707
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0116030148
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
13329838-1204
UT
Other
Enumeration date
06/19/2017
Last updated
07/12/2023
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