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Contact Information

KIRSTEN E BACA, MD
1407 N 2000 W
CLINTON, UT84015-8562
 Phone: 385-333-7123
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for KIRSTEN E BACA · (Female)

NPI Number 1356509897
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2008
Last updated 01/28/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NH License # 16501
  • UT License # 9777824-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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