Individual
KELLEN A HILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 W COUGAR BLVD STE 803, PROVO, UT 84604-3311
(801) 235-7246
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MRM-1704
ID
208100000X
Physical Medicine & Rehabilitation Physician
Primary
13504853-1205
UT
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
13504853-1205
UT
Other
Enumeration date
04/16/2018
Last updated
10/25/2024
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