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Kelly Willie

NPI 1902726532 · on the registry since 2026

Practice

Address
650 N 870 W Ste 101-104
Logan, UT 84321
Phone
(888) 392-8642
Clinicians at this address
2

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-15

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