| Kelly Peacock, | |
|
1274 W Sagehill Dr, Saratoga Springs, UT 84045-4104 | |
| (801) 471-5352 | |
| Not Available |
| Full Name | Kelly Peacock |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1274 W Sagehill Dr, Saratoga Springs, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720881949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 12084587-3101 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Peacock, 1274 W Sagehill Dr, Saratoga Springs, UT 84045-4104 Ph: (801) 471-5352 | Kelly Peacock, 1274 W Sagehill Dr, Saratoga Springs, UT 84045-4104 Ph: (801) 471-5352 |
Cami Lynn Fountaine, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 228 W 400 N, Saratoga Springs, UT 84045 Phone: 801-423-5285 | |
Nicolle Steele, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 228 W 400 N, Saratoga Springs, UT 84045 Phone: 801-996-7906 |