Kelly, Elizabeth Janine

Kelly, Elizabeth Janine is an individual health care provider with primary practice located at 3535 S Market St , West Valley City UT 84119-3635. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kelly, Elizabeth Janine can be contacted via phone (385) 430-1430.

Contact Information

Primary practice address
3535 S Market St West Valley City UT 84119-3635
Phone: (385) 430-1430
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 9802843-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9802843-4405 Utah

Profile Details

NPI number 1518665983
LBN Legal business name Kelly, Elizabeth Janine
Credentials DNP-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2023
Last updated May 18th, 2024 - about 4 months 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 1518665983 NPPES
Utah MEDICAID 9802843-3102

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