Individual
DR. KAVITA G WILLESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6965 S UNION PARK CTR STE 430, COTTONWOOD HEIGHTS, UT 84047-6507
(385) 308-8937
Mailing address
8165 S WILLOW CREEK CV, COTTONWOOD HEIGHTS, UT 84093-6203
(385) 308-8937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50493791205
UT
Other
Enumeration date
08/08/2006
Last updated
07/11/2022
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