Individual
KRISTOPHER HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
735 S 200 W, BLANDING, UT 84511-3922
(435) 678-2254
Mailing address
735 S 200 W, BLANDING, UT 84511-3922
(435) 678-2254
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10205647-4405
UT
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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