Kellie Pack
Kellie Pack is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
Provo, UTNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1023309861 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2011 |
| Last updated in NPPES | April 27, 2011 |
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