Vick, Kevin T
Vick, Kevin T is an individual health care provider with primary practice located at 3460 Pioneer Pkwy , West Valley UT 84120-2049. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Vick, Kevin T can be contacted via phone (801) 993-1566.Contact Information
Primary practice address
3460 Pioneer Pkwy
West Valley UT 84120-2049
Phone: (801) 993-1566
Fax: (801) 733-5618
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 5594772-4406 | Utah |
Profile Details
NPI number | 1831294784 |
---|---|
LBN Legal business name | Vick, Kevin T |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1831294784 | NPPES |
Utah | Other | TPRA09780 | MOLINA |
Utah | Other | 218512 | MOLINA |
Utah | Other | 78674 | MOLINA |
Utah | Other | 880917 | MOLINA |
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