Harlan, Kelly Henderson

Harlan, Kelly Henderson is an individual health care provider with primary practice located at 3895 Harrison Blvd , Ogden UT 84403-2312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Harlan, Kelly Henderson can be contacted via phone (801) 387-7678.

Contact Information

Primary practice address
3895 Harrison Blvd Ogden UT 84403-2312
Phone: (801) 387-7678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 342773-4810 Utah
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 342773-4810 Utah

Profile Details

NPI number 1437916129
LBN Legal business name Harlan, Kelly Henderson
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2024
Last updated Feb 29th, 2024 - about last year

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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