Blad, Kent
Blad, Kent is an individual health care provider with primary practice located at 1675 N Freedom Blvd Bldg 3, Provo UT 84604-2540. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Blad, Kent can be contacted via phone (801) 377-8000.Contact Information
Primary practice address
1675 N Freedom Blvd Bldg 3
Provo UT 84604-2540
Phone: (801) 377-8000
Fax: (801) 377-8001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 217117-4405 | Utah |
Profile Details
| NPI number | 1336219906 |
|---|---|
| LBN Legal business name | Blad, Kent |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Oct 19th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336219906 | NPPES |
| Utah | MEDICAID | D2731 |
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