Doctor Name: | KATHLEEN HARTLEY |
NPI Number: | 1841205655 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2250 Robins Dr Layton, UT - 840411140 |
Business Phone Number: | 8017737060 |
Business Fax Number: | 8017746100 |
Mailing Address: | Po Box 689, FARMINGTON |
State: | UT |
Postal Code: | 840250689 |
Phone Number: | 8014517799 |
Fax Number: | 8014516331 |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |