Healthcare Provider Details

I. General information

NPI: 1588845101
Provider Name (Legal Business Name): DINHKIM LE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 S 1100 E STE 103
SALT LAKE CITY UT
84102
US

IV. Provider business mailing address

PO BOX 800022
KANSAS CITY MO
64180-0022
US

V. Phone/Fax

Practice location:
  • Phone: 801-384-4640
  • Fax: 801-208-6375
Mailing address:
  • Phone: 800-953-0104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number323676-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: