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Individual

DR. KATHERINE MARIE JESSOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132
(801) 581-6393
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-7117

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2017016479
MO
207L00000X
Anesthesiology Physician
40910
IA
207L00000X
Anesthesiology Physician
9368236-1205
UT
207L00000X
Anesthesiology Physician
R-8560
IA

Other

Enumeration date
05/04/2009
Last updated
08/06/2018
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