Kristine Emanuelson

NPI 1164887097 · on the registry since 2015 · sole proprietor

Practice

Address: 280 River Park Dr
Suite 240
Provo, UT 84604
Phone: (801) 615-1047
Organisation at this address: J.M. Clayton, Inc.
Si Procedure Center
Thomas D Myers Md Pc
Wesley D Wylie Md Llc
Maurice G Jenkins Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 225700000X
225700000X
Also registered as: 132700000X
174H00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-01-05

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