Kelly Bingham, RN

Individual provider Active NPI Case Manager/Care Coordinator · Vernal, UT

NPI 1134548449 · NPPES record last updated Apr 15, 2014

Key facts

NPI
1134548449
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
8506760-3102 (UT)
Practice address
133 S 500 E
Vernal, UT 84078-2728
Phone
(435) 247-1177
Fax
(435) 781-0536
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
8506760-3102UTMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 8506760-3102 UT Yes

Addresses

Primary practice location

133 S 500 E
Vernal, UT 84078-2728

Mailing address

133 S 500 E
Vernal, UT 84078-2728
Phone (435) 247-1177

Other providers in Vernal, UT

All providers in Vernal, UT · Case Manager/Care Coordinator in Utah

Sources for this page

Verify at the official NPI Registry.