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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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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