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Annie Kathryn Kornetzke, DO
Family Medicine Physician in Taylorsville, Utah
NPI 1053979948

Annie Kathryn Kornetzke is a Family Medicine Physician based in Taylorsville, UT. Annie Kathryn Kornetzke practices in Taylorsville, UT and has the professional credentials of DO. The NPI Number for Annie Kathryn Kornetzke is 1053979948 and holds a License No. 125074527 (Utah).

The current practice location address for Annie Kathryn Kornetzke is 4745 S 3200 W, Taylorsville, UT and can be reached out via phone at 801-964-6214 and via fax at 877-497-4661.

Location: 4745 S 3200 W, Taylorsville, UT, 84119-1119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053979948
Provider Name
Annie Kathryn Kornetzke
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4745 S 3200 W, Taylorsville, UT, 84119-1119
Phone Number
801-964-6214
Fax Number
877-497-4661
Provider Enumeration Date
06/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4745 S 3200 W
City
Taylorsville
State
Utah
Zip
84129-2822
Phone Number
801-964-6214
Fax Number
877-497-4661
person
Provider Business Mailing Address Details
Address
4745 S 3200 W
City
Taylorsville
State
Utah
Zip
84129-2822
Phone Number
801-964-6214
Fax Number
877-497-4661
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
12784879-1204 (Utah)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125074527 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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