Individual
KATHLEEN G. MERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP
Contact information
Practice address
100 MARIO CAPECCHI DR, PRIMARY CHILDREN'S MEDICAL CENTER EMERGENCY DEPARTMENT, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
100 MARIO CAPECCHI DR, PRIMARY CHILDREN'S MEDICAL CENTER EMERGENCY DEPARTMENT, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2002664405
UT
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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