Most Relevant Information
Provider Data
| NPI Number: | 1003233040 |
| Provider Name: | KAITLIN CARPENTER |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 9529156-1205 |
Most Important Dates
| Enumeration Date: | 03/27/2014 |
| Last Updated: | 04/19/2017 |
Provider Practice Location
100 MARIO CAPECCHI DR
SALT LAKE CITY
UT
841131103
Practice Location Phone/Fax
| Phone: | 8016621000 |
| Fax: |
Provider Mailing Location
100 MARIO CAPECCHI DR
SALT LAKE CITY
UT
841131103
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Pediatrics EMR