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NPI Code Detail

MEDICARE: KATHERINE MCKINSTRY COOK

MEDICARE: KATHERINE MCKINSTRY COOK
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
1207P00000XEmergency Medicine Physician6353573-1205UT

General Provider Information

NPI Number : 1790979268
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MCKINSTRY COOK
Provider Business Mailing Address
First Line : 2210 SAMUEL COLT CT
Second Line :
City : PARK CITY
State : UT
Zip : 84060-7423
Country : US
Telephone Number : 801-835-6153
Fax Number :
Provider Business Practice Location Address
First Line : DIVISON OF EMERGENCY MEDICINE
Second Line : 30 NORTH 1900 EAST 1C026
City : SALT LAKE CITY
State : UT
Zip : 84132-0001
Country : US
Telephone Number : 801-581-2417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2007
Last Update Date : 04/14/2026

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Directions to “ KATHERINE MCKINSTRY COOK ” Practice Location

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