KELLIE MARIA PETERSEN
NPI 1124742366
Community Health Worker in Salt Lake City, UT
About Kellie Maria Petersen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE MARIA PETERSEN (NPI 1124742366) is an individual community health worker in Salt Lake City, Utah and active in the NPI registry since September 2022.
NPPES Registry Identity
Specialties & Licenses
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.
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 Petersen's NPI number?
The NPI number for Kellie Petersen is 1124742366. It was assigned to this individual provider in the NPPES registry on September 30, 2022.
Where is Kellie Petersen located?
Kellie Petersen practices at 344 E 100 S, Salt Lake City, UT 84111. The listed phone number is (801) 428-4257.
What is Kellie Petersen's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Kellie Petersen was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.