| Kelsey Kim, Llc | |
|
2317 N Hill Field Rd Ste 103 Layton UT 84041-4782 | |
| (801) 900-3765 | |
| Not Available |
| Full Name | Kelsey Kim, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2317 N Hill Field Rd Ste 103, Layton, Utah |
| Authorized Official Name and Position | Kelsey Kim Barrus (CLINICAL THERAPIST/OWNER) |
| Authorized Official Contact | 8019003765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Kim, Llc 2317 N Hill Field Rd Ste 103 Layton UT 84041-4782 Ph: () - | Kelsey Kim, Llc 2317 N Hill Field Rd Ste 103 Layton UT 84041-4782 Ph: (801) 900-3765 |
| NPI Number | 1245628866 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245628866 | NPI | - | NPPES |
| 1629197447 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 70870873501 (Utah) | Primary |
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