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KELLIE PACK
NPI 1023309861
Student in an Organized Health Care Education/Training Program in Provo, UT

Active since April 27, 2011
750 N 200 W, SUITE 300, PROVO, UT 84601(801) 373-4760 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Pack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE PACK (NPI 1023309861) is an individual student in an organized health care education/training program in Provo, Utah and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1023309861
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLIE PACK
Location Address750 N 200 W, SUITE 300Provo, UT 84601-1677
Mailing Address750 N 200 W, Suite 300Provo, UT 84601-1677 · (801) 373-4760
Phone(801) 373-4760
Sole ProprietorYes
Enumeration DateApril 27, 2011
✔ NPI 1023309861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
750 N 200 W, Provo, UT 84601
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE COSSEY HSW
Case Manager/Care Coordinator
750 N 200 W
PROVO, UT 84601
Utah County (801) 373-4760
LOUIE ALEXANDER HAMNER
Student in an Organized Health Care Education/Training Program
750 N 200 W, SUITE 300
PROVO, UT 84601
Utah County (801) 373-4760
SUNNIE GILES
Student in an Organized Health Care Education/Training Program
750 N 200 W, SUITE 300
PROVO, UT 84601
Utah County (801) 373-4760
KELLY MARIE DALY-WOLFE PA-C, RDN
Physician Assistant (Medical)
750 N 200 W
PROVO, UT 84601
Utah County (801) 429-2000
RISSA ANN HARPER SSW
Case Manager/Care Coordinator
750 N 200 W
PROVO, UT 84601
Utah County (801) 373-4760
JEANNIE IRENE ZWAHLEN HSW
Case Manager/Care Coordinator
750 N 200 W
PROVO, UT 84601
Utah County (801) 373-4760
EMILY MAE GARCIA
Social Worker
750 N 200 W, SUITE NUMBER 300
PROVO, UT 84601
Utah County (801) 373-4760
ANDREW JUSTIN HATFIELD HSW
Case Manager/Care Coordinator
750 N 200 W
PROVO, UT 84601
Utah County (801) 373-4760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Pack's NPI number?

The NPI number for Kellie Pack is 1023309861. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Kellie Pack located?

Kellie Pack practices at 750 N 200 W Suite 300, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Kellie Pack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kellie Pack was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.