Healthcare Provider Details
I. General information
NPI: 1760137400
Provider Name (Legal Business Name): KATHERINE ARNONE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/21/2022
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1950 CIRCLE OF HOPE DR
SALT LAKE CITY UT
84112-5500
US
IV. Provider business mailing address
3354 E 7635 S
COTTONWOOD HEIGHTS UT
84121-5453
US
V. Phone/Fax
- Phone: 801-587-7000
- Fax:
- Phone: 801-419-2068
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | 12494156-1206 |
| License Number State | UT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | 12494156-1206 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: