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Individual

MS. KATHLEEN CONNOLE RODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
193462-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107019359102
SELECT HEALTH
UT
Enumeration date
05/27/2006
Last updated
09/04/2008
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