MEDICARE: DR. KRISTINA A. KILL D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5570444-1202	UT

General Provider Information

NPI Number	:	1922039650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTINA A. KILL D.C.

Provider Business Mailing Address
First Line	:	3115 E LION LN STE 310
Second Line	:
City	:	HOLLADAY
State	:	UT
Zip	:	84121-3536
Country	:	US
Telephone Number	:	801-281-1688
Fax Number	:	801-210-5330

Provider Business Practice Location Address
First Line	:	3115 E LION LN STE 310
Second Line	:
City	:	HOLLADAY
State	:	UT
Zip	:	84121-3536
Country	:	US
Telephone Number	:	801-281-1688
Fax Number	:	801-210-5330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	02/07/2024

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