NPI 1003307604
Diana M Kelly
Practice location
- Address
- 1753 Sidewinder Dr, Park City, UT 84060-7322
- Phone
- (435) 649-8347
- Mailing address
- 4460 S Highland Dr, Salt Lake City, UT 84124-3543
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003307604
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 May 2018
- Record last updated
- 21 May 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.