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Search › Utah › 171M00000X

Kelly Baker, CM - CASE MANAGER

NPI 1144074030 · on the registry since 2024 · sole proprietor

Practice

Address
60 S Main St Ste 6
Tooele, UT 84074
Phone
(435) 255-6150
Organisation at this address
Beacon House Llc
Beacon House Llc
Beacon House Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah