Most Relevant Information
Provider Data
| NPI Number: | 1003334525 |
| Provider Name: | KELLY MARIE DALY-WOLFE PA-C, RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 8423560-1206 |
Most Important Dates
| Enumeration Date: | 09/05/2017 |
| Last Updated: | 05/20/2024 |
Provider Practice Location
750 N 200 W
PROVO
UT
846011677
Practice Location Phone/Fax
| Phone: | 8014292000 |
| Fax: |
Provider Mailing Location
589 S STATE ST
PROVO
UT
846065056
Provider Mailing Phone/Fax
| Phone: | 8014292000 |
| Fax: |