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NPI Code Detail

MEDICARE: KAITLYN A. SACOTTE MD

MEDICARE: KAITLYN A. SACOTTE MD
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
12080N0001XNeonatal-Perinatal Medicine Physician12806171-1205UT

General Provider Information

NPI Number : 1558726299
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN A. SACOTTE MD
Provider Business Mailing Address
First Line : 295 S CHIPETA WAY
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84108-1287
Country : US
Telephone Number : 801-628-9535
Fax Number :
Provider Business Practice Location Address
First Line : 2250 N MILLER CAMPUS DR
Second Line :
City : LEHI
State : UT
Zip : 84048-7233
Country : US
Telephone Number : 801-662-3604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2015
Last Update Date : 07/18/2025

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