Provider Demographics
NPI:1891050928
Name:WEXLER, KRISTIN ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:ELIZABETH
Last Name:WEXLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 AVALON PINES DR
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-5158
Mailing Address - Country:US
Mailing Address - Phone:609-802-1279
Mailing Address - Fax:
Practice Address - Street 1:3401 N CENTER ST
Practice Address - Street 2:SUITE 150
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-7497
Practice Address - Country:US
Practice Address - Phone:801-653-2757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-04
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9883015-1204207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology