Individual provider · Type 1 NPI

Kelsey Tidwell

Registered Nurse · Taylorsville, UT

NPI number 1629957535 Active

Practice location

5983 S Redwood Rd
Taylorsville, UT 84123-5261

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X14224313-3102 (UT)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1629957535

Kelsey Tidwell's National Provider Identifier is 1629957535, issued on Aug 27, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Taylorsville, UT. The record was last updated on Aug 27, 2025.