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Individual

KRISTINE ELIZABETH KOKENY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1950 EAST CIRCLE OF HOPE, STE. 1570, SALT LAKE CITY, UT 84112-5550
(801) 581-2396
Mailing address
PO BOX 413031, SALT LAKE CITY, UT 84141-3031
(801) 236-7747

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
59040951205
UT
2085R0203X
Therapeutic Radiology Physician
59040951205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00432138
RAILROAD MEDICARE
UT
Enumeration date
05/22/2006
Last updated
11/17/2021
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