Individual
KRISTEN BOLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-6393
Mailing address
2107 E 3300 S APT D, SALT LAKE CITY, UT 84109-4401
(801) 178-7371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5922494-4405
UT
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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