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NPI Code Detail

MEDICARE: DR. JENNIFER A KNEPPER M.D.

MEDICARE: DR. JENNIFER A KNEPPER M.D.
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
1207R00000XInternal Medicine Physician227224NY
2207R00000XInternal Medicine Physician7469143-1205UT
3207R00000XInternal Medicine Physician208397MA

General Provider Information

NPI Number : 1437196144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER A KNEPPER M.D.
Provider Business Mailing Address
First Line : 1784 UINTA WAY UNIT E2
Second Line :
City : PARK CITY
State : UT
Zip : 84098-7685
Country : US
Telephone Number : 435-604-0160
Fax Number : 435-731-8328
Provider Business Practice Location Address
First Line : 1784 UINTA WAY UNIT E2
Second Line :
City : PARK CITY
State : UT
Zip : 84098-7685
Country : US
Telephone Number : 435-604-0160
Fax Number : 435-731-8328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 06/15/2022

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Directions to “ DR. JENNIFER A KNEPPER M.D.” Practice Location

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