Individual
KELLY LYNN KONOPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 CIRCLE OF HOPE DR, SUITE 2100, SALT LAKE CITY, UT 84112-5550
(801) 585-0255
(801) 585-0124
Mailing address
150 S 800 E APT H7, SALT LAKE CITY, UT 84102-4172
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5414484-1205
UT
Other
Enumeration date
12/18/2006
Last updated
12/20/2010
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