Kelly, Diana M

Kelly, Diana M is an individual health care provider with primary practice located at 1753 Sidewinder Dr , Park City UT 84060-7322. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Kelly, Diana M can be contacted via phone (435) 649-8347.

Contact Information

Primary practice address
1753 Sidewinder Dr Park City UT 84060-7322
Phone: (435) 649-8347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1003307604
LBN Legal business name Kelly, Diana M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2018
Last updated May 21st, 2018 - about 7 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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