Individual
KYLIE MEASOM SOFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
OB GYN ADMINISTRATION 30 N 1900 E RM 2B200, SALT LAKE CITY, UT 84132-2101
(801) 581-7647
Mailing address
OB GYN ADMINISTRATION 30 N 1900 E RM 2B200, SALT LAKE CITY, UT 84132-2101
(801) 581-7647
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10959199-1205
UT
Other
Enumeration date
04/04/2017
Last updated
10/14/2018
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