NPI 1770515926 · live from the CMS NPI Registry
Kelly L Hamblin, DPM
Podiatrist in West Jordan, UT. National Provider Identifier 1770515926, active.
NPI record
| NPI | 1770515926 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 3181 W 9000 S, West Jordan, UT 84088 |
| Practice phone | 801-965-3600 |
| Mailing address | 2965 W 3500 S, West Valley City, UT 84119 |
| Enumerated | July 7, 2006 |
| Last updated | October 31, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 333413-0501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.