Kearns Clinic | |
4946 W 6200 S Kearns UT 84118-6703 | |
(801) 871-4444 | |
Not Available |
Full Name | Kearns Clinic |
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Speciality | Family Medicine |
Location | 4946 W 6200 S, Kearns, Utah |
Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
Authorized Official Contact | 8014423974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kearns Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 871-4444 | Kearns Clinic 4946 W 6200 S Kearns UT 84118-6703 Ph: (801) 871-4444 |
NPI Number | 1699060608 |
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Provider Enumeration Date | 06/17/2011 |
Last Update Date | 08/26/2011 |
Identifier | Type | State | Issuer |
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1699060608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 5062011 (Utah) | Primary |
208000000X | Pediatrics | 5062011 (Utah) | Secondary |