Individual
KELLEY A BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-4800
(801) 507-4699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8232589-4405
UT
Other
Enumeration date
04/22/2022
Last updated
07/31/2024
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