Individual
KRISTY K. VAN KATWYK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN MSN FNP
Contact information
Practice address
VA HOSPITAL 500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-5647
Mailing address
VA HOSPITAL 500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-5647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2185604405
UT
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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