Konopacki, Kelly
Konopacki, Kelly is an sole proprietor health care provider with primary practice located at 500 Foothill Dr Bldg 3 , Salt Lake City UT 84148-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Konopacki, Kelly can be contacted via phone (801) 582-1565.Contact Information
Primary practice address
500 Foothill Dr Bldg 3
Salt Lake City UT 84148-0001
Phone: (801) 582-1565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 10299168-2501 | Utah |
Profile Details
| NPI number | 1912362591 |
|---|---|
| LBN Legal business name | Konopacki, Kelly |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2015 |
| Last updated | Dec 13th, 2022 - about 3 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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