Katherine Peacock
Obstetrician & Gynecologist
3181 W 9000 S
West Jordan
, Utah 84088-5610
Katherine Peacock
Obstetrician & Gynecologist
3181 W 9000 S
West Jordan
, Utah 84088-5610
(801) 965-3600
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Katherine Peacock
- Granger Medical Clinic 7181 S. Campus View Dr.
- West Jordan, UT
- Zip : 84084
- Phone : (801) 965-3600
Second Address
- Katherine Peacock
- 3181 W 9000 S
- West Jordan, UT
- Zip : 84088-5610
- Phone : (801) 569-5500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 10957312-1205 | UT |
National Provider Identifier
| NPI | 1013449123 |
|---|---|
| Provider Name | Katherine Peacock |
| First Address | West Jordan, UT 84084 |
| Second Address | West Jordan, UT 84088-5610 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2017 |
| Last Update Date | 20/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.