Individual
KELLIE LEE KORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 W VINE ST, TOOELE, UT 84074-2185
(385) 409-0363
Mailing address
66 W VINE ST, TOOELE, UT 84074-2185
(385) 409-0363
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
UT
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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