Individual
KRISTEN L. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
FAIRFAX ROAD AT VIRGINIA STREET, SHRINERS HOSPITAL FOR CHILDREN, SALT LAKE CITY, UT 84103-4399
(801) 536-3600
(801) 536-3686
Mailing address
SHRINERS HOSPITALS FOR CHILDREN SALT, DEPT 5034, LOS ANGELES, CA 90084-0001
(813) 281-8478
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
184860-1205
UT
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
184860-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76621073
—
UT
Enumeration date
04/20/2006
Last updated
12/03/2021
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