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

KELLY KONOPACKI, PHD

Active Sole Proprietor

KELLY KONOPACKI, PHD is a Clinical Neuropsychologist healthcare provider located in SALT LAKE CITY, Utah. NPI 1912362591 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · SALT LAKE CITY, UT

Registration Details

NPI Number
1912362591
Provider Type
Individual
Gender
Female
NPI Issued
Dec 23, 2015 (10.650642174985 yrs)
Last Updated
Dec 13, 2022
License
10299168-2501 (UT)
Sole Proprietor
Yes

Practice Information

Address
500 FOOTHILL DR BLDG 3
SALT LAKE CITY, UT, 841480001
Browse UT providers · Browse ZIP 84148
Phone
8015821565
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. MARY K HALES PH.D 1538137179
DR. JUAN A. MEJIA PH.D. 1831150374
DAVID TATE PHD 1568427664
JULIEN T SMITH PHD 1326069022
DR. KELLY D GARRETT PHD 1245251776
DR. JENISE JENSEN PHD 1366534943
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.