Basic Information
Provider Information
NPI: 1811124514
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRAME
FirstName: KARA
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 375 S CHIPETA WAY
Address2: SUITE A
City: SALT LAKE CITY
State: UT
PostalCode: 841081260
CountryCode: US
TelephoneNumber: 8015873411
FaxNumber:  
Practice Location
Address1: 555 FOOTHILL DR
Address2: RM 301
City: SALT LAKE CITY
State: UT
PostalCode: 841121106
CountryCode: US
TelephoneNumber: 8015858000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/19/2009
LastUpdateDate: 10/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X255966MAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X8352718-1205UTY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home