Annie Kathryn Kornetzke, DO
NPI #1053979948 in Taylorsville, Utah
Provider Information
- NPI Number
- 1053979948
- Entity Type
- Individual
- Name
- Annie Kathryn Kornetzke, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Jun 5, 2019
- Last Updated
- Jul 19, 2022
Practice Location
- Address
- 4745 S 3200 W
- City
- Taylorsville
- State
- Utah
- ZIP Code
- 84129-2822
- Phone
- (801) 964-6214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Family Medicine |
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