Individual
KATHRYN M SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-5455
Mailing address
2633 S BEVERLY ST, SALT LAKE CITY, UT 84106-3120
(949) 945-3350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8585454-1206
UT
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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