Most Relevant Information
Provider Data
| NPI Number: | 1003247701 |
| Provider Name: | KELLY ANN RUBIO LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4735474-3101 |
Most Important Dates
| Enumeration Date: | 12/05/2013 |
| Last Updated: | 12/09/2013 |
Provider Practice Location
575 EAST 100 SOUTH
PRICE
UT
845010000
Practice Location Phone/Fax
| Phone: | 4356372358 |
| Fax: | 4356379141 |
Provider Mailing Location
PO BOX 867
PRICE
UT
845010867
Provider Mailing Phone/Fax
| Phone: | 4356377200 |
| Fax: | 4356372377 |