KELLY PEACOCK

Licensed Practical Nurse · SARATOGA SPRINGS, UT

Individual Active NPI 1720881949

Taxonomy & licensure

Specialty	Code	Primary	License	State
Licensed Practical Nurse	164W00000X	✓	12084587-3101	UT

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.