Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Kukull, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588050157

Benjamin Kukull, MD is a Pathology in Salt Lake City, Utah. Qualified in 2015, 11 years ago. Practices with Pacific Pathology Associates Inc, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Salt Lake City, UT

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-8211

Specialties & licences

Molecular Genetic Pathology (Pathology) Physician (primary) Taxonomy 207ZP0007X · Licence 11184892-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588050157
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESJune 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pacific Pathology Associates Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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