Most Relevant Information
Provider Data
| NPI Number: | 1003648726 |
| Provider Name: | KELSEY NICHOLE ROOD |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/20/2024 |
| Last Updated: | 08/20/2024 |
Provider Practice Location
750 N FREEDOM BLVD
PROVO
UT
846011677
Practice Location Phone/Fax
| Phone: | 8013734760 |
| Fax: |
Provider Mailing Location
750 N FREEDOM BLVD
PROVO
UT
846011677
Provider Mailing Phone/Fax
| Phone: | 8013734760 |
| Fax: |