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NPI Code Detail

MEDICARE: KELSON PHYSICIAN PARTNER'S OF LAYTON, INC.

MEDICARE: KELSON PHYSICIAN PARTNER'S OF LAYTON, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1902349657
Entity Type Code : Organization
Provider Name (Legal Business Name) : KELSON PHYSICIAN PARTNER'S OF LAYTON, INC.
Provider Business Mailing Address
First Line : 2086 N 1700 W
Second Line : SUITE C
City : LAYTON
State : UT
Zip : 84041
Country : US
Telephone Number : 801-927-1558
Fax Number : 801-927-1591
Provider Business Practice Location Address
First Line : 5682 S 3500 W STE A
Second Line :
City : ROY
State : UT
Zip : 84067-9108
Country : US
Telephone Number : 801-927-1558
Fax Number : 801-927-1591
Authorized Official
Title or Position : CEO
Name : MR. MATTHEW WEST
Credential :
Telephone Number : 801-927-1558
Provider Enumeration Date : 11/29/2016
Last Update Date : 06/24/2024

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Directions to “KELSON PHYSICIAN PARTNER'S OF LAYTON, INC. ” Practice Location

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