Individual
L KRISTIN SHADOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-7951
Mailing address
PO BOX 413029, SALT LAKE CITY, UT 84141-3029
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
328217-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
3282171205
UT
Other
Enumeration date
07/20/2006
Last updated
11/19/2013
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