Kellie Garrett, | |
3723 W 12600 S Ste 360, Riverton, UT 84065-7296 | |
(801) 285-4700 | |
(801) 285-4701 |
Full Name | Kellie Garrett |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 3723 W 12600 S Ste 360, Riverton, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275102782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 11330909-4405 (Utah) | Primary |
163WE0003X | Registered Nurse - Emergency | 11330909-3102 (Utah) | Secondary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Kellie Garrett, Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Kellie Garrett, 3723 W 12600 S Ste 360, Riverton, UT 84065-7296 Ph: (801) 285-4700 |
Julie Jones, CNM, MS Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3409 W 12600 S, Suite #110, Riverton, UT 84065 Phone: 801-302-5777 Fax: 801-302-5666 | |
Bethany Christine Lambson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2992 W 12825 S, Riverton, UT 84065 Phone: 801-808-9462 |