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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KATHLEEN MARIE BONEBRAKE, MD

Active Sole Proprietor

DR. KATHLEEN MARIE BONEBRAKE, MD is a Psychiatry healthcare provider located in SALT LAKE CITY, Utah. NPI 1245692466 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · SALT LAKE CITY, UT

Registration Details

NPI Number
1245692466
Provider Type
Individual
Gender
Female
NPI Issued
Mar 26, 2016 (10.343220262173 yrs)
Last Updated
Oct 28, 2021
License
10505880-1205 (UT)
Sole Proprietor
Yes

Practice Information

Address
501 S CHIPETA WAY
SALT LAKE CITY, UT, 84108
Browse UT providers · Browse ZIP 84108
Phone
8015878626
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. ROBERT D BIRCH DO 1245220805
MICHAELA SIEMES MOHR MD 1326038985
NUSRAT AHMED M.D. 1497739387
DR. MARK RAPAPORT M.D. 1194709998
DONNA KAY PHILIPPI D.O. 1881670982
DR. CHARLOTTE ELAINE GANT M.D. 1518944818
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.