Individual
DR. KIRK N O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2943 PARKWAY BLVD, PMB 80, SALT LAKE CITY, UT 84119
(314) 452-3780
(731) 201-5047
Mailing address
2943 PARKWAY BLVD, PMB 80, SALT LAKE CITY, UT 84119
(314) 452-3780
(731) 201-5047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12060095-1205
UT
Other
Enumeration date
07/22/2011
Last updated
08/16/2023
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