Individual
KAYLEE RAY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7155 S HIGH TECH DR APT 30, MIDVALE, UT 84047-3763
(801) 227-9891
Mailing address
7155 S HIGH TECH DR APT 30, MIDVALE, UT 84047-3763
(801) 227-9891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10406387-4405
UT
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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