Ledyard, Holly Kristine

Ledyard, Holly Kristine is an individual health care provider with primary practice located at 175 N Medical Dr E Rm 3100, Salt Lake City UT 84132-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Ledyard, Holly Kristine can be contacted via phone (801) 587-9953.

Contact Information

Primary practice address
175 N Medical Dr E Rm 3100 Salt Lake City UT 84132-0001
Phone: (801) 587-9953
Fax: (801) 587-8039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.087845 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 7009281-1205 Utah
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 7009281-1205 Utah

Profile Details

NPI number 1376651182
LBN Legal business name Ledyard, Holly Kristine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Nov 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376651182 NPPES
Utah Other 7009281-1205 UTAH LICENSE
Utah Other 35.087845 UTAH LICENSE

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