Healthcare Provider Details

I. General information

NPI: 1245197524
Provider Name (Legal Business Name): KAYLEE S. MCIFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 W 260 N
OREM UT
84057-1970
US

IV. Provider business mailing address

475 W 260 N
OREM UT
84057-1970
US

V. Phone/Fax

Practice location:
  • Phone: 801-221-9930
  • Fax: 801-221-9930
Mailing address:
  • Phone: 801-221-9930
  • Fax: 801-221-9930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: