Individual
KAITLYN MARIE SAMHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 S 700 E STE 203, SALT LAKE CITY, UT 84107-3075
(801) 268-4887
Mailing address
4444 S 700 E STE 203, SALT LAKE CITY, UT 84107-3075
(801) 268-4887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RBT-18-67968
UT
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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