Individual
KRISTIN BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(303) 775-6543
Mailing address
3410 E LA VIE LN, COTTONWOOD HEIGHTS, UT 84093-1209
(303) 775-6543
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
10682211-1204
UT
363A00000X
Physician Assistant
PA2002-0038
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2007
Last updated
10/21/2021
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