NPI 1366407488 · live from the CMS NPI Registry
Kristen L. Carroll, M.D.
Orthopaedic Surgery, Pediatric Orthopaedic Surgery in Salt Lake City, UT. National Provider Identifier 1366407488, active.
NPI record
| NPI | 1366407488 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Pediatric Orthopaedic Surgery 207XP3100X |
| Practice location | Fairfax Road At Virginia Street, Shriners Hospital For Children, Salt Lake City, UT 84103 |
| Practice phone | 801-536-3600 |
| Mailing address | Shriners Hospitals For Children Salt, Dept 5034, Los Angeles, CA 90084 |
| Enumerated | April 20, 2006 |
| Last updated | December 3, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 184860-1205 (UT) |
| Orthopaedic Surgery, Pediatric Orthopaedic Surgery primary | 207XP3100X | 184860-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.