KPC Promise Hospital of Salt Lake LLC

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

Legal business name

KPC PROMISE HOSPITAL OF SALT LAKE LLC

Doing business as

KPC Promise Hospital of Salt Lake

Practice address

4252 S Birkhill Blvd
Murray, UT 84107-5715

Phone

(385) 425-0050

NPI assigned

Aug 4, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Thomas

Title

Secretary

Phone

(951) 987-8100

Specialties & licenses 2

Addresses

Other names 1

• KPC Promise Hospital of Salt Lake Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1851901870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KPC PKWY STE 301",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797102",
            "telephone_number": "951-782-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 S BIRKHILL BLVD",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075715",
            "telephone_number": "385-425-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPC PROMISE HOSPITAL OF SALT LAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-987-8100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KPC Promise Hospital of Salt Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Marie Koontz, PT, DPT
• Ines Katharina Korbanka, LPC
• David J Kotter, APRN
• Kow Holdings LLC
• KPC Promise Hospital of Salt Lake LLC
• Zachary R Krahn, MD
• Mark Kraus, M.D., PH.D.
• Sabine Krautgasser-Tolman, RD
• Victoria Kravets, PA-C
• Mark Kringlen, MD

• Institutional Pharmacy in Murray, UT
• Providers in Murray, UT by specialty
• Institutional Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.