Provider Demographics
NPI:1700869153
Name:OSTLER, KATHY M (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:M
Last Name:OSTLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:750 ROUND VALLEY DR
Mailing Address - Street 2:#102
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84060-7548
Mailing Address - Country:US
Mailing Address - Phone:435-655-0926
Mailing Address - Fax:435-649-3748
Practice Address - Street 1:750 ROUND VALLEY DR
Practice Address - Street 2:#102
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84060-7548
Practice Address - Country:US
Practice Address - Phone:435-655-0926
Practice Address - Fax:435-649-3748
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2012-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT2267782-1205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics