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:
Health care specialties
| Specialty | Code | License # | 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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