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Individual

MS. KATHRYN LOUISE DERRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4460 HIGHLAND DR, #300, SALT LAKE CITY, UT 84124-3543
(801) 273-6326
Mailing address
8114 S 2470 W, WEST JORDAN, UT 84088-7662
(801) 233-0518

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
3141673102
UT

Other

Enumeration date
01/31/2006
Last updated
07/08/2007
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