Anderson, Kevin Mark
Anderson, Kevin Mark is an individual health care provider with primary practice located at 4403 Harrison Blvd Ste 3815 , Ogden UT 84403-3330. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Anderson, Kevin Mark can be contacted via phone (801) 387-5620.Contact Information
Primary practice address
4403 Harrison Blvd Ste 3815
Ogden UT 84403-3330
Phone: (801) 387-5620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 9717755-1206 | Utah |
Profile Details
| NPI number | 1831826759 |
|---|---|
| LBN Legal business name | Anderson, Kevin Mark |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2022 |
| Last updated | Feb 6th, 2023 - about 2 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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