Provider Demographics
NPI:1750585485
Name:COTTING, WENDY KAY (MD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:KAY
Last Name:COTTING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TAYLORSVILLE KIDSCARE
Mailing Address - Street 2:3845 W. 4700 S.
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84118
Mailing Address - Country:US
Mailing Address - Phone:801-884-2471
Mailing Address - Fax:
Practice Address - Street 1:TAYLORSVILLE KIDSCARE
Practice Address - Street 2:3845 W. 4700 S.
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84118
Practice Address - Country:US
Practice Address - Phone:801-662-5755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6024599-1205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics