| Knepper Concierge Medicine | |
|
1784 Uinta Way Unit E2 Park City UT 84098-7685 | |
| (617) 571-3680 | |
| (435) 731-8328 |
| Full Name | Knepper Concierge Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1784 Uinta Way Unit E2, Park City, Utah |
| Authorized Official Name and Position | Bryan Knepper (OWNER) |
| Authorized Official Contact | 6175713680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knepper Concierge Medicine 50 W Broadway Ste 333 Salt Lake City UT 84101-2027 Ph: (435) 800-5711 | Knepper Concierge Medicine 1784 Uinta Way Unit E2 Park City UT 84098-7685 Ph: (617) 571-3680 |
| NPI Number | 1104699446 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 12/26/2023 |
| Medicare PECOS PAC ID | 6002265568 |
|---|---|
| Medicare Enrollment ID | O20231208001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104699446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer A. Knepper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437196144 PECOS PAC ID: 5799740361 Enrollment ID: I20150930000633 |
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