Most Relevant Information
Provider Data
NPI Number: | 1003462482 |
Provider Name: | KRISTY BENTLEY DNP |
Entity Type: | Individual |
Taxonomy Code: | 363LA2100X |
Specialty: | Nurse Practitioner |
License Number: | 6495934-4405 |
Most Important Dates
Enumeration Date: | 08/12/2019 |
Last Updated: | 08/12/2019 |
Provider Practice Location
5121 S COTTONWOOD ST
MURRAY
UT
841075701
Practice Location Phone/Fax
Phone: | 8015075400 |
Fax: |
Provider Mailing Location
5911 W ROUND ROCK DR
HERRIMAN
UT
840968216
Provider Mailing Phone/Fax
Phone: | 8017917481 |
Fax: |