Kathy Jane Pedersen in Salt Lake City - Family Medicine
Kathy Jane Pedersen - NPI 1265419022
Kathy Jane Pedersen is a Family Medicine in Salt Lake City, Utah. Kathy Jane Pedersen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kathy Jane Pedersen is 1265419022. The last update date is 2007-07-19.
Kathy Jane Pedersen's current location address is 4745 S 3200 W, Salt Lake City, Utah. You can contact this provider via phone number 8019646214 and fax number 8014126950. The mailing address for Kathy Jane Pedersen is 4745 S 3200 W, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathy Jane Pedersen |
|---|---|
| Address | 4745 S 3200 W, Salt Lake City, Utah |
| Phone Number | 8019646214 |
| Fax Number | 8014126950 |
| Sole Proprietor | N |
| Credentials | PA-C, MPAS |
NPI Number Detail
| NPI Number | 1265419022 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | 4745 S 3200 W |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841182822 |
| Phone Number | 8019646214 |
| Fax Number | 8014126950 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 102701-1206 |
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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 i |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kathy Jane Pedersen by the Centers for Medicare & Medicaid Services?
The Kathy Jane Pedersen has been issued the NPI (National Provider Identifier) 1265419022, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kathy Jane Pedersen?
The Kathy Jane Pedersen is situated at 4745 S 3200 W, in the city of Salt Lake City, state of UT, with the zip code 841182822.
What is the area of specialization for Kathy Jane Pedersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kathy Jane Pedersen is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Kathy Jane Pedersen receive its 1265419022 assignment from the Centers for Medicare & Medicaid Services?
The Kathy Jane Pedersen was assigned its 1265419022 by the Centers for Medicare & Medicaid Services on 2005-12-22.
When was the information related to Kathy Jane Pedersen most recently updated or refreshed?
The details pertaining to the Kathy Jane Pedersen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-19.