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GRACE-MAE GENITIANO KELLY
Family Nurse Practitioner
NPI: 1265916639IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
6300561-4405(UT)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 4460 S HIGHLAND DR, SUITE 230
SLC, UT 84124 - Phone
- (888) 949-4864
Quick Facts
- NPI
- 1265916639
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 7
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