Individual
KELLY TRYTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 N MEDICAL DR CLINIC 9, SALT LAKE CITY, UT 84132
(801) 587-8368
Mailing address
50 N MEDICAL DR CLINIC 9, SALT LAKE CITY, UT 84132
(801) 587-8368
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8759038-1206
UT
Other
Enumeration date
05/07/2009
Last updated
12/20/2021
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