Individual
DR. KRISTIN M LEIFERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-1100
(801) 581-2955
Mailing address
PO BOX 3208, SALT LAKE CITY, UT 84110-3208
(801) 587-6340
(801) 587-6346
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
49298911205
UT
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
49298911205
UT
207NS0135X
Procedural Dermatology Physician
49298911205
UT
Other
Enumeration date
10/06/2006
Last updated
11/18/2021
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