Kirstein, Judith L

Kirstein, Judith L is an individual health care provider with primary practice located at 8846 S Redwood Rd Ste E121, West Jordan UT 84088-9334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kirstein, Judith L can be contacted via phone (801) 569-1999.

Contact Information

Primary practice address
8846 S Redwood Rd Ste E121 West Jordan UT 84088-9334
Phone: (801) 569-1999
Fax: (801) 569-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 164009-1205 Utah

Profile Details

NPI number 1275576027
LBN Legal business name Kirstein, Judith L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 16th, 2014 - about 12 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 1275576027 NPPES
Utah MEDICAID 06179
Utah MEDICAID 1164672770

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