Newbold, Kevin Dale

Newbold, Kevin Dale is an individual health care provider with primary practice located at 3895 Harrison Blvd , Ogden UT 84403-2312. He recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Allopathic & Osteopathic Physicians / Sports Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Newbold, Kevin Dale can be contacted via phone (801) 387-7678.

Contact Information

Primary practice address
3895 Harrison Blvd Ogden UT 84403-2312
Phone: (801) 387-7678
Fax: (801) 387-8538
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 8984745-4405 Utah
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 8984745-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8984745-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 8984745-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8984745-4405 Utah

Profile Details

NPI number 1366917577
LBN Legal business name Newbold, Kevin Dale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2018
Last updated Oct 4th, 2018 - about 6 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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