Individual
KRISTIN ELLE MITROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5171 S COTTONWOOD ST STE 810, SALT LAKE CITY, UT 84107-5705
(801) 507-9800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9164161-1205
UT
2084N0400X
Neurology Physician
DR.0058602
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2013
Last updated
03/10/2025
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