MEDICARE: KAITLINN VON RINTELEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1063383628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLINN VON RINTELEN

Provider Business Mailing Address
First Line	:	1486 MAPLE DR
Second Line	:
City	:	LOGAN
State	:	UT
Zip	:	84321-3631
Country	:	US
Telephone Number	:	801-467-1200
Fax Number	:	801-467-1210

Provider Business Practice Location Address
First Line	:	1459 E 3900 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1412
Country	:	US
Telephone Number	:	801-467-1200
Fax Number	:	801-467-1210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/16/2025

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Directions to “ KAITLINN VON RINTELEN ” Practice Location

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