KELLY KATULA

SANTIBANEZ AGUIRRE PC

Dr KELLY KATULA is a male medical professional, specializing in Internal Medicine. He graduated in 2012 from West Virginia School Of Osteopathic Medicine.

Contact

SANTIBANEZ AGUIRRE PC

1200 E 3900
SALT LAKE CITY
UT
841241300

Tel: 8017835011

KELLY KATULA Information

Npi 1245506831
Pac Id 0244482354
Professional Enrollment Id I20150803002934
Last Name KATULA
First Name KELLY
Middle Name
Suffix
Gender M
Credential
Medical School Name WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year 2012
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SANTIBANEZ AGUIRRE PC
Group Practice Pac Id 4789807165
Number Of Group Practice Members 87
Line 1 Street Address 1200 E 3900
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SALT LAKE CITY
State UT
Zip Code 841241300
Phone Number 8017835011
Hospital Affiliation Ccn 1 460005
Hospital Affiliation Lbn 1 OGDEN REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 460042
Hospital Affiliation Lbn 2 LAKEVIEW HOSPITAL
Hospital Affiliation Ccn 3 460017
Hospital Affiliation Lbn 3 BRIGHAM CITY COMMUNITY HOSPITAL
Hospital Affiliation Ccn 4 460041
Hospital Affiliation Lbn 4 DAVIS HOSPITAL AND MEDICAL CENTER
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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