Individual
MR. JOSEPH L KINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6933 S 1300 W, WEST JORDAN, UT 84084-2554
(801) 327-8707
(801) 748-0423
Mailing address
6933 S 1300 W, WEST JORDAN, UT 84084-2554
(801) 327-8707
(801) 748-0423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
84834191204
UT
208000000X
Pediatrics Physician
R1818
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81039
TRAINING PERMIT
AZ
01
—
8483419-1204
LICENSE
UT
Enumeration date
07/09/2010
Last updated
03/07/2023
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