Individual
MS. KAYLEEN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
8160 S HIGHLAND DR STE 110, SANDY, UT 84093-7403
(801) 707-7004
Mailing address
2223 E VALDE NEIGE CIR, SANDY, UT 84093-1073
(801) 707-7004
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
150335-4405
UT
363LG0600X
Gerontology Nurse Practitioner
150335-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000057906
GROUP PIN
UT
01
—
UT03672
MEDICARE SUBMITTER ID NUM
UT
Enumeration date
04/06/2007
Last updated
02/09/2026
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