Balog, Kimberly A

Balog, Kimberly A is an individual health care provider with primary practice located at 1255 East Fort Union Blvd Suite 200, Midvale UT 84047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Balog, Kimberly A can be contacted via phone (801) 523-0761.

Contact Information

Primary practice address
1255 East Fort Union Blvd Suite 200 Midvale UT 84047
Phone: (801) 523-0761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3085908-1205 Utah

Profile Details

NPI number 1891777587
LBN Legal business name Balog, Kimberly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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