Individual
KITTY LEINEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S 1850 E, HPER EAST- ROOM 207, SALT LAKE CITY, UT 84112-0920
(801) 503-7272
Mailing address
2546 S SCENIC DR, SALT LAKE CITY, UT 84109-1484
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
00726629
UT
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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