Bodily, Kurt O

Bodily, Kurt O is an individual health care provider with primary practice located at 1055 N 500 W Ste 100 , Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bodily, Kurt O can be contacted via phone (801) 374-1268.

Contact Information

Primary practice address
1055 N 500 W Ste 100 Provo UT 84604-3305
Phone: (801) 374-1268
Fax: (801) 812-5454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 322494-1205 Utah

Profile Details

NPI number 1780600312
LBN Legal business name Bodily, Kurt O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Apr 22nd, 2024 - about last year

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 1780600312 NPPES
Other 100009090 PALMETTO
Other 265465 PALMETTO
Other 870281028BO2 PALMETTO
Other 39508 PALMETTO
Other QM0000009163 PALMETTO
Other 107007621101 PALMETTO
Other 29-00038 PALMETTO

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