Organization
INTERMOUNTAIN HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN KAY KRISTENSEN BSN, MSN, APRN (NNP)
(801) 840-0639
Entity
Organization
Contact information
Practice address
3159 EAGLE ROCK WAY, SALT LAKE CITY, UT 84120-1424
(801) 840-0639
Mailing address
3159 EAGLE ROCK WAY, SALT LAKE CITY, UT 84120-1424
(801) 840-0639
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
327855-4405
UT
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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