Individual
KEVIN C SHILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 TH AVENUE AND C ST, SALT LAKE CITY, UT 84143-1005
(801) 408-3617
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-3617
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
48855071205
UT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4885507-1205
UT
Other
Enumeration date
08/13/2006
Last updated
11/27/2012
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