Kukull, Benjamin

Kukull, Benjamin is an individual health care provider with primary practice located at 15 Medical Dr Ste 1100 , Salt Lake City UT 84112-1100. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Molecular Genetic Pathology. Allopathic & Osteopathic Physicians / Molecular Genetic Pathology is his primary health care specialty. Kukull, Benjamin can be contacted via phone (801) 581-4390.

Contact Information

Primary practice address
15 Medical Dr Ste 1100 Salt Lake City UT 84112-1100
Phone: (801) 581-4390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X 11184892-1205 Utah

Profile Details

NPI number 1588050157
LBN Legal business name Kukull, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Jun 11th, 2019 - about 5 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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