Individual
KIRSTEN LEIGH RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF UTAH DEPARTMENT OF MEDICINE, SALT LAKE CITY, UT 84132
(801) 585-5559
Mailing address
1032 E WOOD AVE, SALT LAKE CITY, UT 84105-2412
(402) 314-0191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9529348-1205
UT
207R00000X
Internal Medicine Physician
9529348-1205
UT
Other
Enumeration date
03/28/2014
Last updated
11/17/2021
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