Individual
MICHAEL D KILLPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 S 1100 E STE 310, SALT LAKE CITY, UT 84102-1500
(801) 328-1260
(801) 350-4361
Mailing address
24 S 1100 E STE 310, SALT LAKE CITY, UT 84102-1500
(801) 328-1260
(801) 350-4361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6108381-1205
UT
208M00000X
Hospitalist Physician
6108381-1205
UT
Other
Enumeration date
01/10/2007
Last updated
01/15/2021
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