Nielson, Kenneth G
Nielson, Kenneth G is an individual health care provider with primary practice located at 1160 E 3900 S Ste 2000, Salt Lake City UT 84124-1202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Nielson, Kenneth G can be contacted via phone (801) 266-3418.Contact Information
Primary practice address
1160 E 3900 S Ste 2000
Salt Lake City UT 84124-1202
Phone: (801) 266-3418
Fax: (801) 288-4444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 183758-1205 | Utah |
Profile Details
| NPI number | 1063404929 |
|---|---|
| LBN Legal business name | Nielson, Kenneth G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Nov 27th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063404929 | NPPES |
| Utah | MEDICAID | 10301 |
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