Individual
KELLEN HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HELIX: 30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112-5095
(801) 581-2121
Mailing address
HELIX: 30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112-5095
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61283933
WA
207RC0000X
Cardiovascular Disease Physician
Primary
13891964-1205
UT
207RC0000X
Cardiovascular Disease Physician
MD61283933
WA
208M00000X
Hospitalist Physician
MD61283933
WA
Other
Enumeration date
05/01/2020
Last updated
03/29/2024
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