Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNIE KATHRYN KORNETZKE, DO
ActiveANNIE KATHRYN KORNETZKE, DO is a Family Medicine healthcare provider located in TAYLORSVILLE, Utah. NPI 1053979948 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TAYLORSVILLE, UT
Registration Details
- NPI Number
- 1053979948
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2019 (7.1852050490866 yrs)
- Last Updated
- Jul 19, 2022
- Licenses
-
125074527 (IL)12784879-1204 (UT)
Practice Information
- Address
-
4745 S 3200 WTAYLORSVILLE, UT, 841292822Browse UT providers · Browse ZIP 84129
- Phone
- 8019646214
- Fax
- 8774974661
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in TAYLORSVILLE, UT
| Name | Credential | NPI |
|---|---|---|
| NATHAN C MCKELLAR | DO | 1508844853 |
| JEFFREY A AYERS | DO | 1629181508 |
| ROBERT M LYM | MD | 1750494548 |
| DAVID B MINER | MD | 1811000607 |
| DOUGLAS R NEWBOLD | MD | 1447363239 |
| FRANK J POWERS | M.D. | 1447412135 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.