Cooney, Kathleen A

Cooney, Kathleen A is an sole proprietor health care provider with primary practice located at 1950 Circle Of Hope Clinic 2B, Salt Lake City UT 84112-5550. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Cooney, Kathleen A can be contacted via phone (801) 585-0100.

Contact Information

Primary practice address
1950 Circle Of Hope Clinic 2B Salt Lake City UT 84112-5550
Fax: (801) 585-0721
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9691669-1205 Utah
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 9691669-1205 Utah

Profile Details

NPI number 1073699039
LBN Legal business name Cooney, Kathleen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Oct 13th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073699039 NPPES
Michigan MEDICAID 2790720

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