Kirkham, Jason Anthony

Kirkham, Jason Anthony is an individual health care provider with primary practice located at 1433 N 1075 W Ste 104 , Farmington UT 84025-2746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kirkham, Jason Anthony can be contacted via phone (801) 298-1300.

Contact Information

Primary practice address
1433 N 1075 W Ste 104 Farmington UT 84025-2746
Phone: (801) 298-1300
Fax: (801) 296-6199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5827923-1205 Utah

Profile Details

NPI number 1164421798
LBN Legal business name Kirkham, Jason Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Feb 26th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164421798 NPPES
Utah Other 58279231203001 BCBSUT
Utah MEDICAID 807205500 BCBSUT
Utah Other P00651539 BCBSUT
Utah MEDICAID 100505947 BCBSUT
Utah MEDICAID D6039 BCBSUT
Utah MEDICAID 120831400 BCBSUT
Utah Other P00224687 BCBSUT
Utah Other 58279231200001 BCBSUT

Popular Providers