Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie Pack

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023309861

Kellie Pack is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

750 N 200 W Ste 300
Provo, UT 84601-1677
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1023309861
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 27, 2011
Last updated in NPPESApril 27, 2011
Mailing address750 N 200 W, Suite 300, Provo, UT 84601-1677

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