Individual provider · Type 1 NPI

Katherine Denise Koller, APRN

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Provo, UT

NPI number 1003973785 Active

Practice location

315 S 100 E
Provo, UT 84606-4649

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X192852-4405 (UT)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1003973785

Katherine Denise Koller, APRN's National Provider Identifier is 1003973785, issued on Jan 2, 2007. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Provo, UT. The record was last updated on Jul 8, 2007.