Groomer, Kelli Elaine
Groomer, Kelli Elaine is an individual health care provider with primary practice located at 8 Th Ave & C St , Salt Lake City UT 84143-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Groomer, Kelli Elaine can be contacted via phone (801) 408-3729.Contact Information
Primary practice address
8 Th Ave & C St
Salt Lake City UT 84143-0001
Phone: (801) 408-3729
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 6063472-1206 | Utah |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 6063472-1206 | Utah |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085.004349 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 385.003199 | Illinois |
Profile Details
NPI number | 1568412724 |
---|---|
LBN Legal business name | Groomer, Kelli Elaine |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Nov 10th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568412724 | NPPES |
Other | 86519 | PEHP # | |
Other | 26837 | PEHP # | |
MEDICAID | 100507903 | PEHP # |
Popular Providers
-
Darnell, Lorena Ann
500 Foothill Blvd , Salt Lake City UT 84148-0001 -
Langi, Kingi M
313 E 900 S Ste 102, Salt Lake City UT 84111-4315 -
Schelling, Travis K
230 S 500 E Suite 510, Salt Lake City UT 84102-2015 -
Toth, Robert
590 Wakara Way , Salt Lake City UT 84108-1200 -
Davis, James Bradley
5770 South 250 East Suite 135, Salt Lake City UT 84107-8241 -
Dent, Robert A
50 N Medical Dr , Salt Lake City UT 84132-0001 -
Mattocks, Diane Marie
500 Foothill Dr , Salt Lake City UT 84148-0001 -
Anderson, David S
6321 S Redwood Rd Ste 201 , Salt Lake City UT 84123-6972