IndividualActive
Benjamin Kukull, MD
NPI 1588050157 · Molecular Genetic Pathology (Pathology) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1588050157
- Entity type
- Individual
- Primary specialty
- Molecular Genetic Pathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Practice location
15 Medical Dr Ste 1100
Salt Lake City, UT 84112-1100
Phone: (801) 581-4390
Mailing address
15 Medical Dr Ste 1100
Salt Lake City, UT 84112-1100
Registry dates
- Enumerated
- 2015-04-10
- Last updated
- 2019-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.