Whalio Doctors

NPI 1396741476

Kipp Moreno Robins, MD

Practitioner Otolaryngology Physician Provo, UT

Practice location

Address
1055 N 500 W Bldg a, Provo, UT 84604-3305
Phone
(801) 812-5033
Mailing address
1055 N 500 W Attn: Credentialing, Provo, UT 84604-3305

Registered specialties

Otolaryngology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 1811001205 (UT)

Registry record

NPI
1396741476
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Jun 2005
Record last updated
27 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.