Individual provider · Type 1 NPI

Kelly Marie Daly-Wolfe, PA-C, RDN

Medical Physician Assistant · Provo, UT

NPI number 1003334525 Active

Practice location

750 N 200 W
Provo, UT 84601-1677

Mailing address

589 S State St
Provo, UT 84606-5056

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X8423560-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1003334525

Kelly Marie Daly-Wolfe, PA-C, RDN's National Provider Identifier is 1003334525, issued on Sep 5, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Provo, UT. The record was last updated on May 20, 2024.