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

Kellie Thayne

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639007230

Kellie Thayne is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026

Practice location Address checks out

1800 Novell Pl
Provo, UT 84606-6171
Phone: (801) 648-8861
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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 (UT)

Record details

NPI number1639007230
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address10429 S Split Rock Dr, South Jordan, UT 84009-6105

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