Individual
KAITLIN EMMERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 CIRCLE OF HOPE DR # 1950, SALT LAKE CITY, UT 84112-5550
(801) 213-4261
Mailing address
1330 E PERRYS HOLLOW RD, SALT LAKE CITY, UT 84103-4262
(303) 981-6871
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11476976-1206
UT
Other
Enumeration date
03/20/2020
Last updated
10/21/2021
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