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Individual

DR. KIM COSTON CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2150 WEST 700 NORTH, KIM C. CHRISTENSEN D.O. FAA SL/ARTCC MFO, SALT LAKE CITY, UT 84116
(801) 320-2440
(801) 320-2449
Mailing address
2150 WEST 700 NORTH, KIM C. CHRISTENSEN D.O. FAA SL/ARTCC MFO, SALT LAKE CITY, UT 84116
(801) 320-2440
(801) 320-2449

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
0725715025
UT

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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