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Search › Utah › 2085R0202X

Kimball Christianson, M.D

NPI 1316113228 · on the registry since 2008

Practice

Address
1055 N 500 W
Suite 112, Bldg. C
Provo, UT 84604
Phone
(801) 812-4624
Fax
(801) 812-4699
Organisation at this address
Revere Health Pc
Revere Health Pc
Total Renal Care Inc
Total Renal Care Inc
Central Utah Clinic, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
236

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
2085R0202X
2085R0202X
2085R0202X
390200000X
Licence states on file
NC, OR, ID, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah