Individual
MS. KAYLEEN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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