Katherine Denise Koller, APRN Valid NPI

Individual provider · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Provo, UT

NPI

1003973785

Type

Individual (Type 1)

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WP0807X

License number

192852-4405 (UT)

Sex

Female

Sole proprietor

No

Enumerated

2007-01-02

Last updated

2007-07-08