Individual
KATHLEEN A COONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 CIRCLE OF HOPE, CLINIC 2B, SALT LAKE CITY, UT 84112-5550
(801) 585-0100
(801) 585-0721
Mailing address
127 SO. 500 EAST #600, SALT LAKE CITY, UT 84102-1971
(801) 587-6705
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9691669-1205
UT
207RX0202X
Medical Oncology Physician
Primary
9691669-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2790720
—
MI
Enumeration date
10/31/2006
Last updated
10/13/2017
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