Hansen, Kellen Tage

Hansen, Kellen Tage is an individual health care provider with primary practice located at 3401 N Center St Ste 100 , Lehi UT 84043. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Hansen, Kellen Tage can be contacted via phone (801) 753-7770.

Contact Information

Primary practice address
3401 N Center St Ste 100 Lehi UT 84043
Phone: (801) 753-7770
Fax: (801) 753-7775
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02004307A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10266619-1204 Utah
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02004307A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 10266619-1204 Utah

Profile Details

NPI number 1396007316
LBN Legal business name Hansen, Kellen Tage
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2012
Last updated Nov 21st, 2019 - about 5 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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