Organization
KATHLEEN K BOYNTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KARN BOYNTON MD (PHYSICIAN)
(801) 563-5121
Entity
Organization
Contact information
Practice address
3584 W. 9000 S., 300, WEST JORDAN, UT 84088
(801) 563-5121
(801) 565-3663
Mailing address
3584 W. 9000 S., 300, WEST JORDAN, UT 84088
(801) 563-5121
(801) 565-3663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
178452-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264251147092
—
UT
Enumeration date
05/25/2007
Last updated
11/25/2008
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