Overdiek, Kirk Russell

Overdiek, Kirk Russell is an individual health care provider with primary practice located at 2084 N 1700 W Suite A, Layton UT 84041. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Overdiek, Kirk Russell can be contacted via phone (801) 773-8644.

Contact Information

Primary practice address
2084 N 1700 W Suite A Layton UT 84041
Phone: (801) 773-8644
Fax: (801) 773-9828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 51153924405 Utah

Profile Details

NPI number 1619160041
LBN Legal business name Overdiek, Kirk Russell
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2007
Last updated Sep 11th, 2012 - about 12 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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