Search › Utah › 207ZP0007X
Benjamin Kukull, MD
NPI 1588050157 · on the registry since 2015
Practice
- Address
- 15 Medical Dr Ste 1100
Salt Lake City, UT 84112 - Phone
- (801) 581-4390
- Clinicians at this address
- 11
Additional practice sites
- 3181 Sw Sam Jackson Park Rd, Portland, OR
Registry record
- Primary taxonomy
- 207ZP0007X
207ZP0007X
- Also registered as
- 390200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-11
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