Nicole Kelly, P.A.-C

NPI 1013312339 · on the registry since 2014

Practice

Address: 12340 S 450 E
Draper, UT 84020
Phone: (801) 501-9797
Organisation at this address: Biorestoration Medical
Quintessence Health And Wellness
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah