Individual
MS. KATHLEEN MARY KUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
VA MEDICAL CTR, 500 FOOTHILL DRIVE, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-1273
Mailing address
1116 3RD AVE, SALT LAKE CITY, UT 84103-4118
(801) 582-1565
(801) 584-1273
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5084653-4405
UT
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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