Individual
KATELYN KUBIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 581-7766
Mailing address
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 581-7766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13019818-1206
UT
Other
Enumeration date
05/03/2021
Last updated
09/01/2023
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