NPI 1003973785

Katherine Denise Koller, APRN

Practitioner Child & Adolescent Psychiatric/Mental Health Registered Nurse Provo, UT

Practice location

Address: 315 S 100 E, Provo, UT 84606-4649
Phone: (801) 851-8517

Registered specialties

Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary

Nursing Service Providers Taxonomy 163WP0807X Licence 192852-4405 (UT)

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Registry record

NPI: 1003973785
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2007
Record last updated: 8 Jul 2007

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.