IndividualActive
Kelsey Wild, RD
NPI 1104455930 · Oncology Nutrition Registered Dietitian · Salt Lake City, UT
Provider details
- NPI number
- 1104455930
- Entity type
- Individual
- Primary specialty
- Oncology Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
Practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-5306
Mailing address
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Registry dates
- Enumerated
- 2020-04-03
- Last updated
- 2020-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.