Provider Demographics
NPI:1922039650
Name:KILL, KRISTINA A (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:A
Last Name:KILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:
Other - Last Name:STITCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3115 E LION LN STE 310
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-3536
Mailing Address - Country:US
Mailing Address - Phone:801-281-1688
Mailing Address - Fax:801-210-5330
Practice Address - Street 1:3115 E LION LN STE 310
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84121-3536
Practice Address - Country:US
Practice Address - Phone:801-281-1688
Practice Address - Fax:801-210-5330
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5570444-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU98181Medicare UPIN