Benjamin Kukull, MD

Individual Active
NPI 1588050157
Molecular Genetic Pathology (Pathology) Physician Salt Lake City, UT

NPI 1588050157 belongs to Benjamin Kukull, MD, a molecular genetic pathology (pathology) physician with a practice location in Salt Lake City, UT. The NPI was issued on April 10, 2015, and the record was last updated in NPPES on June 11, 2019. The record lists 2 taxonomy codes. One additional practice location is listed.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Molecular Genetic Pathology (Pathology) Physician Primary 207ZP0007X 11184892-1205 (UT)
Student in an Organized Health Care Education/Training Program 390200000X Not listed

Practice locations

15 Medical Dr Ste 1100
Salt Lake City, UT 84112-1100
Phone: (801) 581-4390
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8211

Local context

Active NPPES records list 5 providers with molecular genetic pathology (pathology) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 5 in Utah and 193 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Benjamin Kukull
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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