Benjamin Kukull, MD Valid NPI
Individual provider · Molecular Genetic Pathology (Pathology) Physician · Salt Lake City, UT
- NPI
- 1588050157
- Type
- Individual (Type 1)
- Primary specialty
- Molecular Genetic Pathology (Pathology) Physician (Pathology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207ZP0007X
- License number
- 11184892-1205 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2015-04-10
- Last updated
- 2019-06-11
Practice location
15 Medical Dr Ste 1100
Salt Lake City, UT 84112-1100
(801) 581-4390