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Contact Information

JOHN R KESTLE, MD
100 MARIO CAPECCHI DR
SUITE 1475
SALT LAKE CITY, UT84113-1103
 Phone: 801-662-5340
 Fax: 801-662-5345
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN R KESTLE · (Male)

NPI # 1871683474
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 11/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 360219-1205
  • UT Medicaid 1871683474
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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