Individual
KELLY HOOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
45 W 100 S, SALEM, UT 84653-9459
(801) 404-9893
Mailing address
45 W 100 S, SALEM, UT 84653-9459
(801) 404-9893
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4995783-4405
UT
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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