Individual provider Active NPI

Kim Coston Christensen, D.O.

  • Aerospace Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1811000276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
0725715025 Issued in UT
Practice address
2150 West 700 North
Kim C. Christensen D.O. Faa SL/Artcc Mfo
Salt Lake City, UT 84116
Phone
(801) 320-2440
Fax
(801) 320-2449
NPI assigned
Aug 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 0725715025 UT Primary

Addresses

Primary practice location

2150 West 700 North
Kim C. Christensen D.O. Faa SL/Artcc Mfo
Salt Lake City, UT 84116

Mailing address

2150 West 700 North
Kim C. Christensen D.O. Faa SL/Artcc Mfo
Salt Lake City, UT 84116
Phone (801) 320-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0725715025UTMDAerospace Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811000276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 WEST 700 NORTH",
            "address_2": "KIM C. CHRISTENSEN D.O. FAA SL/ARTCC MFO",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84116",
            "telephone_number": "801-320-2440",
            "fax_number": "801-320-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 WEST 700 NORTH",
            "address_2": "KIM C. CHRISTENSEN D.O. FAA SL/ARTCC MFO",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84116",
            "telephone_number": "801-320-2440",
            "fax_number": "801-320-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KIM",
        "middle_name": "COSTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "UT",
            "license": "0725715025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.