Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIRSTEN E BACA, MD
Active Sole ProprietorKIRSTEN E BACA, MD is a Interventional Vascular Surgery healthcare provider located in CLINTON, Utah. NPI 1356509897 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · CLINTON, UT
Registration Details
- NPI Number
- 1356509897
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2008 (18.171400383663 yrs)
- Last Updated
- Jan 28, 2021
- Licenses
-
16501 (NH)16501 (NH)16501 (NH)9777824-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1407 N 2000 WCLINTON, UT, 840158562Browse UT providers · Browse ZIP 84015
- Phone
- 3853337123
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.