Mark Christopher Kelly
Student in an Organized Health Care Education/Training Program in Provo, UT. Individual provider (NPI-1).
NPI number1891486643
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1891486643
- Entity type
- Individual (NPI-1)
- Name
- Mark Christopher Kelly
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2023
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
750 N Freedom BlvdProvo, UT 84601-1677
Phone 801-373-4760
Mailing address
750 N Freedom BlvdProvo, UT 84601-1677
Phone 801-373-4760
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All 511 Student in an Organized Health Care Education/Training Program providers in Provo · All 6,098 providers in Provo
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