Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.123429 | OH |
Y | 207VX0201X | Gynecologic Oncologist | 8141232-1205 | UT |
NPI | 1275859654 |
---|---|
Provider Name | Dr. Kathryn A Maurer |
First Address | Salt Lake City, UT 84132-0001 |
Second Address | Salt Lake City, UT 84103-3186 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2010 |
Last Update Date | 20/11/2021 |