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Individual

KRISTINE HOLLY FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8211 WEST 3500 SOUTH, MAGNA, UT 84044
(801) 250-9638
(801) 250-3204
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 375-8858
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
110634-1206
UT

Other

Enumeration date
04/25/2006
Last updated
09/04/2012
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