Search › Utah › 207Q00000X
Annie Kornetzke, DO
NPI 1053979948 · on the registry since 2019
Practice
- Address
- 4745 S 3200 W
Taylorsville, UT 84129 - Phone
- (801) 964-6214
- Fax
- (877) 497-4661
- Organisation at this address
- Community Health Centers, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- IL, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah