Individual
KIM C BERTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 S 1100 E, STE 101, SALT LAKE CITY, UT 84102-1500
(801) 355-6468
(801) 355-3450
Mailing address
24 S 1100 E, STE 101, SALT LAKE CITY, UT 84102-1500
(801) 355-6468
(801) 355-3450
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
164111-1205
UT
Other
Enumeration date
09/08/2005
Last updated
08/12/2011
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