Anderson, Kelsey
Anderson, Kelsey is an individual health care provider with primary practice located at 30 N Mario Capecchi Dr Rm 2S200 , Salt Lake City UT 84112. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Anderson, Kelsey can be contacted via phone (801) 581-7822.Contact Information
Primary practice address
30 N Mario Capecchi Dr Rm 2S200
Salt Lake City UT 84112
Phone: (801) 581-7822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 38171 | Oklahoma |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 61548154 | Washington |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 14284438-1205 | Utah |
Profile Details
| NPI number | 1467046805 |
|---|---|
| LBN Legal business name | Anderson, Kelsey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2021 |
| Last updated | Jul 22nd, 2026 - about 4 months 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 | 1467046805 | NPPES |
| Oklahoma | MEDICAID | 38171 |
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