Individual
MCKENNA L. COLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12127423-1205
UT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
12127423-1205
UT
2084V0102X
Vascular Neurology Physician
Primary
12127423-1205
UT
Other
Enumeration date
12/10/2019
Last updated
12/09/2025
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