Individual
MR. KYLE BRANDT DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
461 S 400 E, SALT LAKE CITY, UT 84111-3302
(801) 539-8617
(801) 537-7238
Mailing address
220 W 7200 S, SUITE A, MIDVALE, UT 84047-1043
(801) 858-3461
(801) 955-2389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7765083-1206
UT
Other
Enumeration date
09/18/2010
Last updated
12/17/2021
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