MS. KATHLEEN CONNOLE RODMAN APRN NPI 1760439574

NPI Information

NPI: 1760439574
Provider Name: MS. KATHLEEN CONNOLE RODMAN, APRN
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
508 E SOUTH TEMPLE
STE 205
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 596-0100
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MS. Kathleen Connole Rodman, APRN is a women's health nurse practitioner in Salt Lake City, UT. MS. Kathleen Connole Rodman, APRN NPI is 1760439574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

508 E SOUTH TEMPLE
STE 205
SALT LAKE CITY, UT
ZIP 84102-013
Phone: (801) 596-0100
Fax: (801) 596-8800

The enumeration date for this NPI number is 5/27/2006 and was last updated on 9/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	193462-4405	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	87-0528056	OTHER		TIN
2	000062012	MEDICARE PIN	UTAH
3	R86457	MEDICARE UPIN	UTAH
4	107019359102	OTHER	UTAH	SELECT HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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