person
Kelly Distefano
Maternal Newborn Registered Nurse in Salt Lake City, Utah
NPI 1851021018

Kelly Distefano is a Maternal Newborn Registered Nurse based in Salt Lake City, UT and is specialized in Maternal Newborn. Kelly Distefano practices in Salt Lake City, UT. The NPI Number for Kelly Distefano is 1851021018 and holds a License No. 111980483102 (Utah).

The current practice location address for Kelly Distefano is 50 N Medical Dr, Salt Lake City, UT and can be reached out via phone at 801-581-2953. You can also correspond with Kelly Distefano through the mailing address at 2165 S 1700 E, SALT LAKE CITY, UT - 84106-4122 (mailing address contact number: 860-462-8204).

Location: 50 N Medical Dr, Salt Lake City, UT, 84106-4122
person
Provider Profile Details
NPI Number
1851021018
Provider Name
Kelly Distefano
Credential
Provider Entity Type
Individual
Gender
Female
Address
50 N Medical Dr, Salt Lake City, UT, 84106-4122
Phone Number
801-581-2953
Fax Number
Provider Enumeration Date
06/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 N Medical Dr
City
State
Zip
84132-0001
Phone Number
801-581-2953
Fax Number
person
Provider Business Mailing Address Details
Address
50 N Medical Dr
City
State
Zip
84132-0001
Phone Number
801-581-2953
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Maternal Newborn
Taxonomy
License No.
111980483102 (Utah)
Definition
Definition to come...
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