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Kristen L. Carroll, M.D.

Orthopaedic Surgery, Pediatric Orthopaedic Surgery in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1366407488
StatusActive
Last updated in NPPESDec 3, 2021

Details

NPI
1366407488
Entity type
Individual (NPI-1)
Name
Kristen L. Carroll
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 20, 2006
Certification date
Dec 3, 2021
Last updated
Dec 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery184860-1205UTYes
207X00000X Orthopaedic Surgery184860-1205UT

Practice location

Fairfax Road At Virginia Street
Shriners Hospital For Children
Salt Lake City, UT 84103-4399

Phone 801-536-3600 · Fax 801-536-3686

Mailing address

Shriners Hospitals For Children Salt
Dept 5034
Los Angeles, CA 90084-0001

Phone 813-281-8478 · Fax 813-281-8113

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatric Orthopaedic Surgery Physician providers in Salt Lake City, UT

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