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Kimball Lael Christianson, MD
Diagnostic Radiology Physician in Provo, Utah
NPI 1316113228

Kimball Lael Christianson is a Diagnostic Radiology Physician based in Provo, UT and is specialized in Diagnostic Radiology. Kimball Lael Christianson practices in Provo, UT and has the professional credentials of MD. The NPI Number for Kimball Lael Christianson is 1316113228 and holds a License No. 2010-00277 (Utah).

The current practice location address for Kimball Lael Christianson is 1055 N 500 W, Provo, UT and can be reached out via phone at 801-812-4624 and via fax at 801-812-4699.

Location: 1055 N 500 W, Provo, UT, 84604-4649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316113228
Provider Name
Kimball Lael Christianson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W, Provo, UT, 84604-4649
Phone Number
801-812-4624
Fax Number
801-812-4699
Provider Enumeration Date
05/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1306895016 05 ID
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W
City
Provo
State
Utah
Zip
84604
Phone Number
801-812-4624
Fax Number
801-812-4699
person
Provider Business Mailing Address Details
Address
1055 N 500 W
City
Provo
State
Utah
Zip
84604
Phone Number
801-812-4624
Fax Number
801-812-4699
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD153988 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2010-00277 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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