Individual
KATHLEEN R DEREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5405 S 500 E, SUITE 100, OGDEN, UT 84405-6957
(801) 475-8600
(801) 475-8686
Mailing address
5405 S 500 E, SUITE 100, OGDEN, UT 84405-6957
(801) 475-8600
(801) 475-8686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
320722-1205
UT
208M00000X
Hospitalist Physician
Primary
320722-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437267192
—
UT
Enumeration date
08/25/2006
Last updated
09/09/2010
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