Individual
DR. KATHRYN C. KRULISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-0001
(801) 382-7007
Mailing address
175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-0001
(801) 382-7007
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
12762265-1205
UT
2084N0400X
Neurology Physician
R76678
AZ
2084N0600X
Clinical Neurophysiology Physician
12762265-1205
UT
Other
Enumeration date
05/08/2018
Last updated
06/01/2022
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