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

Kristina L Kelly Rose

Individual provider Clinical Social Worker · NPI 1205109352

Kristina L Kelly Rose is a Clinical Social Worker in Layton, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2012

Practice location Address checks out

1086 E Highway 193 Ste 103
Layton, UT 84040-8589
Phone: (801) 336-8475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5059033-3502 (UT)

Record details

NPI number1205109352
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 21, 2012
Last updated in NPPESJuly 16, 2015

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