Quezada, Kathryn Grace

Quezada, Kathryn Grace is an individual health care provider with primary practice located at 165 E 100 N Apt E , Logan UT 84321-4630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Quezada, Kathryn Grace can be contacted via phone (801) 807-8689.

Contact Information

Primary practice address
165 E 100 N Apt E Logan UT 84321-4630
Phone: (801) 807-8689
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9279002-4405 Utah

Profile Details

NPI number 1912537887
LBN Legal business name Quezada, Kathryn Grace
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2020
Last updated Jan 20th, 2020 - about 4 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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