Individual
JOHN RICHARD WELSH KESTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MARIO CAPECCHI DR, SUITE 1475, SALT LAKE CITY, UT 84113-1103
(801) 662-5340
(801) 662-5345
Mailing address
PO BOX 58417, SALT LAKE CITY, UT 84158-0417
(801) 213-3800
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
360219-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871683474
—
UT
Enumeration date
10/13/2006
Last updated
11/03/2021
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