Individual ProviderKelly BirchSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5965 S 900 E, Murray, UT 84121-1720(801) 263-7138PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Birch does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1760858161Provider TypeIndividualFull NameBirch, KellyGenderFemaleSole ProprietorNoEnumeration Date8/19/2015Last Updated8/19/2015Contact InformationPractice LocationPractice Address5965 S 900 E, Murray, UT 84121-1720Phone(801) 263-7138FaxUnlisted FaxMailing LocationMailing Address5965 S 900 E, Murray, UT 84121-1720Phone(801) 263-7138FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense90435133502Utah