person
Brenna Grace Kelly, MD
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1861195018

Brenna Grace Kelly is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. Brenna Grace Kelly practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Brenna Grace Kelly is 1861195018 and holds a License No. (Utah).

The current practice location address for Brenna Grace Kelly is 30 N 1900 E Rm 4C104, Salt Lake City, UT and can be reached out via phone at 801-581-7606 and via fax at 801-581-5393.

Location: 30 N 1900 E Rm 4C104, Salt Lake City, UT, 84132-0002
person
Provider Profile Details
NPI Number
1861195018
Provider Name
Brenna Grace Kelly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
30 N 1900 E Rm 4C104, Salt Lake City, UT, 84132-0002
Phone Number
801-581-7606
Fax Number
801-581-5393
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 N 1900 E Rm 4C104
City
State
Zip
84132-0002
Phone Number
801-581-7606
Fax Number
801-581-5393
person
Provider Business Mailing Address Details
Address
30 N 1900 E Rm 4C104
City
State
Zip
84132-0002
Phone Number
801-581-7606
Fax Number
801-581-5393
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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