Individual
MS. KATHLEEN CONNOLE RODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
508 E SOUTH TEMPLE, STE 205, SALT LAKE CITY, UT 84102-1013
(801) 596-0100
(801) 596-8800
Mailing address
255 DOUGLAS ST, SALT LAKE CITY, UT 84102-2610
(801) 583-9639
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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