Individual
KAREN K MINCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12000 E BIG COTTONWOOD CANYON RD, BRIGHTON, UT 84121-9710
(801) 534-1400
Mailing address
7149 S WAY MAR CIR, SALT LAKE CITY, UT 84121-6650
(801) 633-0940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
105860-1206
UT
363AM0700X
Medical Physician Assistant
Primary
105860-1206
UT
Other
Enumeration date
12/14/2017
Last updated
11/03/2021
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