Individual
KATHRYN LYNN ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
295 S CHIPETA WAY RM 2W414, SALT LAKE CITY, UT 84108-1287
(801) 581-2121
Mailing address
295 S CHIPETA WAY RM 2W414, SALT LAKE CITY, UT 84108-1287
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207SG0207X
Medical Biochemical Genetics
Primary
14196138-1205
UT
2080P0205X
Pediatric Endocrinology Physician
7545
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016570
—
NV
01
—
11040199
CAQH
—
05
—
2016664
—
NV
Enumeration date
08/15/2006
Last updated
01/06/2025
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