| Doctor Name: | KANDICE ROSE NIELSON |
| NPI Number: | 1720252513 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 829812-1205 |
| Business Practice Address: | 620 Medical Dr. Ste 340 Bountiful, UT - 84010 |
| Business Phone Number: | 8012992229 |
| Business Fax Number: | 8012993800 |
| Mailing Address: | Po Box 27128, Ste 340 SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841270128 |
| Phone Number: | 8017064888 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2008 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 829812-1205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |