Individual
KEVIN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E ROOM 3C444, SALT LAKE CITY, UT 84132
(801) 581-6393
(801) 581-4367
Mailing address
30 N 1900 E ROOM 3C444 SOM, SALT LAKE CITY, UT 84132-2501
(801) 581-6393
(801) 581-4367
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10098671-1205
UT
Other
Enumeration date
04/09/2015
Last updated
11/12/2021
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