Mark, Kathleen

Mark, Kathleen is an individual health care provider with primary practice located at 1525 East 6000 South , South Ogden UT 84405. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Other Service Providers / Midwife is her primary health care specialty. Mark, Kathleen can be contacted via phone (801) 337-5800.

Contact Information

Primary practice address
1525 East 6000 South South Ogden UT 84405
Phone: (801) 337-5800
Fax: (801) 337-5809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 1924744402 Utah
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 192474-4402 Utah

Profile Details

NPI number 1851314389
LBN Legal business name Mark, Kathleen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 13th, 2009 - about 15 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 1851314389 NPPES
Utah MEDICAID D0895
Utah Other 160009437

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