Individual provider · Type 1 NPI

Amanda Khoury

Foot & Ankle Surgery Podiatrist · Salt Lake City, UT

NPI number 1417512898 Active

Practice location

24 S 1100 E Ste 210
Salt Lake City, UT 84102-1580

Fax (801) 505-5280

Mailing address

280 S Main St
Bountiful, UT 84010-6236

Other practice locations

  • 1000 Montauk Hwy, West Islip, NY 11795-4927 · (631) 376-3000
  • 8822 S Redwood Rd Ste E1, West Jordan, UT 84088-9336 · (801) 285-7060

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X12612990-0501 (UT)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1417512898

Amanda Khoury's National Provider Identifier is 1417512898, issued on May 1, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Salt Lake City, UT. The record was last updated on May 3, 2022.