NPI 1003334525

Kelly Marie Daly-Wolfe, PACRDN

Practitioner Medical Physician Assistant Provo, UT

Practice location

Address: 750 N 200 W, Provo, UT 84601-1677
Phone: (801) 429-2000
Mailing address: 589 S State St, Provo, UT 84606-5056

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 8423560-1206 (UT)

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Registry record

NPI: 1003334525
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2017
Record last updated: 20 May 2024

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.