Active NPIIndividual provider

Kristin G Goeller, PA-C

Physician Assistant, Medical in Murray, Utah

NPI Number1306939350
Practice location
5770 S 250 E Ste 415, Murray, UT 84107
Fax
801-268-2832
Last updated
May 23, 2018

Kristin Gale Goeller is a Physician Assistant, Medical based in Murray, UT. Kristin Gale Goeller practices in Murray, UT and has the professional credentials of PA-C. The NPI Number for Kristin Gale Goeller is 1306939350 and holds a License No. 00110002060 (VA). The current practice location address for Kristin Gale Goeller is 5770 S 250 E Ste 415, Murray, UT 84107 and can be reached out via phone at 801-268-2822 and via fax at 801-268-2832.

Provider Profile Details

NPI Number
1306939350
Provider Name
Kristin Gale Goeller
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5770 S 250 E Ste 415, Murray, UT 84107
Phone Number
801-268-2822
Fax Number
801-268-2832
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
October 2, 2006
Last Update Date
May 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
5770 S 250 E Ste 415
Murray, UT 84107
City
Murray
State
Utah
Zip
84107
Phone Number
801-268-2822
Fax Number
801-268-2832
Murray, UT 84107Get directions →

Provider Business Mailing Address Details

Address
6234 W Marcrest Dr
West Valley City, UT 84128-1351
City
West Valley City
State
UT
Zip
84128-1351
Phone Number
801-647-3778

License Information

License Number (1)
00110002060
License State (1)
VA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
15
License State (2)
VI
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristin G Goeller, PA-C?

The NPI number of Kristin G Goeller, PA-C is 1306939350. It was assigned on October 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Kristin G Goeller, PA-C?

Kristin G Goeller, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VA under license number 00110002060.

Where does Kristin G Goeller, PA-C practice?

The practice location is 5770 S 250 E Ste 415, Murray, UT 84107. The office can be reached at 801-268-2822 (phone) or 801-268-2832 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306939350 directly on the NPPES registry website.

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