Individual
KELSEY FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 ROUND VALLEY DR, PARK CITY, UT 84060-7571
(435) 333-1519
Mailing address
650 ROUND VALLEY DR, PARK CITY, UT 84060-7571
(435) 333-1519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14223480-3102
UT
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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