Decker Jetter, Kathryn Clark
Decker Jetter, Kathryn Clark is an individual health care provider with primary practice located at 3130 S Highland Dr Ste B4 , Salt Lake City UT 84106-3095. She recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is her primary health care specialty. Decker Jetter, Kathryn Clark can be contacted via phone (801) 253-6886.Contact Information
Primary practice address
3130 S Highland Dr Ste B4
Salt Lake City UT 84106-3095
Phone: (801) 253-6886
Fax: (801) 253-6888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 10921738-0501 | Utah |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 10921738-0501 | Utah |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 10921738-0501 | Utah |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 10921738-0501 | Utah |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 10921738-0501 | Utah |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 10921738-0501 | Utah |
Profile Details
| NPI number | 1366734394 |
|---|---|
| LBN Legal business name | Decker Jetter, Kathryn Clark |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2011 |
| Last updated | Jul 18th, 2024 - about 4 months 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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