Individual provider · Type 1 NPI

Kaitlyn Bushman

General Practice Physician · Salt Lake City, UT

NPI number 1700701737 Active

Practice location

500 Foothill Dr
Salt Lake City, UT 84148-0001

Mailing address

7562 S 2480 W
West Jordan, UT 84084-3825

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X11415562-3102 (UT)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1700701737

Kaitlyn Bushman's National Provider Identifier is 1700701737, issued on Aug 11, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 11, 2026.