Averett, Kelly R

Averett, Kelly R is an individual health care provider with primary practice located at 1050 E South Temple , Salt Lake City UT 84102-1507. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Averett, Kelly R can be contacted via phone (801) 350-4111.

Contact Information

Primary practice address
1050 E South Temple Salt Lake City UT 84102-1507
Phone: (801) 350-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4850503-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4850503-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4850503-1206 Utah

Profile Details

NPI number 1306198924
LBN Legal business name Averett, Kelly R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2012
Last updated Mar 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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