Individual
DR. KALANI LUKELA RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-3011
(801) 581-2121
Mailing address
30 N 1900 E # 4R312, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5525877-1205
UT
207RN0300X
Nephrology Physician
Primary
5525877-1205
UT
207RN0300X
Nephrology Physician
MD196402
OR
Other
Enumeration date
10/28/2006
Last updated
12/11/2022
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