Alderson, Mary Kathryn

Alderson, Mary Kathryn is an individual health care provider with primary practice located at 166 E 5900 S Ste B106, Salt Lake City UT 84107-7350. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Alderson, Mary Kathryn can be contacted via phone (801) 743-6444.

Contact Information

Primary practice address
166 E 5900 S Ste B106 Salt Lake City UT 84107-7350
Fax: (801) 743-6888
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 167897-1205 Utah

Profile Details

NPI number 1891791034
LBN Legal business name Alderson, Mary Kathryn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891791034 NPPES
Utah MEDICAID 7040

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