Healthcare Provider Details
I. General information
NPI: 1841228525
Provider Name (Legal Business Name): KAREN A ZEMPOLICH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/29/2006
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
348 E 4500 S STE 200
MURRAY UT
84107-8509
US
IV. Provider business mailing address
2965 W 3500 S
WEST VALLEY CITY UT
84119-3602
US
V. Phone/Fax
- Phone: 801-262-9800
- Fax:
- Phone: 801-965-3505
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VX0201X |
| Taxonomy | Gynecologic Oncology Physician |
| License Number | M-9133 |
| License Number State | ID |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0201X |
| Taxonomy | Gynecologic Oncology Physician |
| License Number | 277129-1205 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: