Individual
KRISTEN M. DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 581-2121
Mailing address
81 N MARIO CAPECCHI DR RM 1A.001, SALT LAKE CITY, UT 84113-1125
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11956942-1205
UT
2084P0800X
Psychiatry Physician
11956942-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
11956942-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2019
Last updated
03/17/2025
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