Individual provider · Type 1 NPI

Kelly C. Cook

Student in an Organized Health Care Education/Training Program · Heber, UT

NPI number 1134733439 Active

Practice location

55 500 E
Heber, UT 84032

Mailing address

750 N Freedom Blvd
Provo, UT 84601-1677

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

About NPI 1134733439

Kelly C. Cook's National Provider Identifier is 1134733439, issued on Sep 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Heber, UT. The record was last updated on Mar 10, 2026.