Eliason, Kyle Joseph

Eliason, Kyle Joseph is an individual health care provider with primary practice located at 4403 Harrison Blvd , Ogden UT 84403-3271. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Eliason, Kyle Joseph can be contacted via phone (801) 387-5620.

Contact Information

Primary practice address
4403 Harrison Blvd Ogden UT 84403-3271
Phone: (801) 387-5620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R-8597 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39729 Iowa
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 8276332-1205 Utah
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X 13628 North Dakota
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 13628 North Dakota

Profile Details

NPI number 1336374511
LBN Legal business name Eliason, Kyle Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2009
Last updated Mar 17th, 2018 - about 7 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 1336374511 NPPES
Iowa Other P01075574 RR MEDICARE
Iowa MEDICAID 1336374511 RR MEDICARE

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