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1912362591
KELLY KONOPACKI
SALT LAKE CITY, UT
NPI
1912362591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: UT 10299168-2501)
Enumeration Date
2015-12-23
Last Update Date
2022-12-13
Business Address
KELLY KONOPACKI PHD
500 FOOTHILL DR BLDG 3
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
KELLY KONOPACKI PHD
689 N EASTCAPITOL ST
SALT LAKE CITY, UT 84103-2188
Phone number: 650-739-5434
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