Carroll, Kristen L.

Carroll, Kristen L. is an individual health care provider with primary practice located at Fairfax Road At Virginia Street Shriners Hospital For Children, Salt Lake City UT 84103-4399. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is her primary health care specialty. Carroll, Kristen L. can be contacted via phone (801) 536-3600.

Contact Information

Primary practice address
Fairfax Road At Virginia Street Shriners Hospital For Children Salt Lake City UT 84103-4399
Fax: (801) 536-3686
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 184860-1205 Utah
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 184860-1205 Utah

Profile Details

NPI number 1366407488
LBN Legal business name Carroll, Kristen L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366407488 NPPES
Utah MEDICAID 76621073

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