Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSEY WILD, RD
ActiveOncology Nutrition · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1104455930
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 3, 2020 (6.0528557656029 yrs)
- Last Updated
- Apr 3, 2020
Practice Information
- Address
-
100 N MARIO CAPECCHI DRSALT LAKE CITY, UT, 841131103Browse UT providers · Browse ZIP 84113
- Phone
- 8016625306
- Primary Specialty
-
Oncology Nutrition
133VN1301X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.