Individual
MS. SARA J KUNZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3556 SHIELDS LN #101, SOUTH JORDAN, UT 84095
(801) 567-9780
Mailing address
1694 E KELMSCOTT CT APT B, SLC, UT 84124-2576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7611629-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7611629-4405
—
UT
Enumeration date
07/30/2021
Last updated
07/30/2021
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