Smock, Kristi Johnson
Smock, Kristi Johnson is an sole proprietor health care provider with primary practice located at 500 Chipeta Way Mail Stop 115-G04, Salt Lake City UT 84108. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Smock, Kristi Johnson can be contacted via phone (801) 583-2787.Contact Information
Primary practice address
500 Chipeta Way Mail Stop 115-G04
Salt Lake City UT 84108
Phone: (801) 583-2787
Fax: (801) 585-3831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 5756815-1205 | Utah |
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 5756815-1205 | Utah |
Profile Details
| NPI number | 1255510285 |
|---|---|
| LBN Legal business name | Smock, Kristi Johnson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2007 |
| Last updated | Nov 23rd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255510285 | NPPES |
| Utah | Other | P009708556 | RAILROAD MEDICARE |
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