Rebecca Lynn Kestle, NP
Nurse Practitioner, Pediatrics in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1154033397
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1154033397
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Lynn Kestle
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2022
- Certification date
- Oct 3, 2023
- Last updated
- Oct 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 9758183-4405 | UT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
100 N Mario Capecchi DrSalt Lake City, UT 84113-1103
Phone 801-662-1000
Mailing address
711 E 9th AveSalt Lake City, UT 84103-3612
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All 68 Pediatric Nurse Practitioner providers in Salt Lake City · All 24,510 providers in Salt Lake City
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