Individual provider · Type 1 NPI

Annie Kathryn Kornetzke, DO

Family Medicine Physician · Taylorsville, UT

NPI number 1053979948 Active

Practice location

4745 S 3200 W
Taylorsville, UT 84129-2822

Fax (877) 497-4661

Mailing address

2621 S 3270 W
Taylorsville, UT 84119-1119

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X125074527 (IL)
Family Medicine Physician Primary 207Q00000X12784879-1204 (UT)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1053979948

Annie Kathryn Kornetzke, DO's National Provider Identifier is 1053979948, issued on Jun 5, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Taylorsville, UT. The record was last updated on Jul 19, 2022.