Provider Demographics
NPI:1356218549
Name:BUCHER, KILEA SORELLE
Entity type:Individual
Prefix:MS
First Name:KILEA
Middle Name:SORELLE
Last Name:BUCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 E SPRING VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84106-1211
Mailing Address - Country:US
Mailing Address - Phone:801-598-0742
Mailing Address - Fax:
Practice Address - Street 1:617 E SPRING VIEW DR
Practice Address - Street 2:
Practice Address - City:SOUTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84106-1211
Practice Address - Country:US
Practice Address - Phone:801-598-0742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty