Daugharty Lewis, Kellie

Daugharty Lewis, Kellie is an sole proprietor health care provider with primary practice located at 39 Wanderwood Way , Sandy UT 84092-4866. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Daugharty Lewis, Kellie can be contacted via phone (801) 561-8398.

Contact Information

Primary practice address
39 Wanderwood Way Sandy UT 84092-4866
Phone: (801) 561-8398
Fax: (801) 302-0645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 322464-4405 Utah

Profile Details

NPI number 1750467155
LBN Legal business name Daugharty Lewis, Kellie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Feb 14th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750467155 NPPES
Utah MEDICAID 1750467155

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