Individual
DR. KATIE LYNN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
65 E 6850 S, MIDVALE, UT 84047-1215
(307) 259-8362
Mailing address
5895 S SAM OLIVER DR, MURRAY, UT 84107-5912
(307) 259-8362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6632518-4405
UT
Other
Enumeration date
07/24/2021
Last updated
07/24/2021
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