Individual
KERRY LEA SACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 S 900 E, SALT LAKE CITY, UT 84105-3208
(801) 464-7852
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 464-7852
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13280360-4405
UT
363L00000X
Nurse Practitioner
R35043
ND
363LF0000X
Family Nurse Practitioner
R168818-8
MN
Other
Enumeration date
07/27/2010
Last updated
06/16/2023
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