Anderson, Kent W

Anderson, Kent W is an individual health care provider with primary practice located at 545 W 465 N Suite 130, Providence UT 84332-8003. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Kent W can be contacted via phone (435) 752-7627.

Contact Information

Primary practice address
545 W 465 N Suite 130 Providence UT 84332-8003
Phone: (435) 752-7627
Fax: (435) 752-7802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 324469-2501 Utah

Profile Details

NPI number 1932231016
LBN Legal business name Anderson, Kent W
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jan 26th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932231016 NPPES
Utah Other 292486 DMBA
Utah Other 52082 DMBA
Utah Other 107007866101 DMBA
Utah Other 870621775AN2 DMBA
Utah Other 870621775 DMBA

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