Anderson, Kevin Mark

Anderson, Kevin Mark is an individual health care provider with primary practice located at 4403 Harrison Blvd Ste 3815 , Ogden UT 84403-3330. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Anderson, Kevin Mark can be contacted via phone (801) 387-5620.

Contact Information

Primary practice address

4403 Harrison Blvd Ste 3815 Ogden UT 84403-3330

Phone: (801) 387-5620

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Medical	363AM0700X	9717755-1206	Utah

Profile Details

NPI number	1831826759
LBN Legal business name	Anderson, Kevin Mark
Credentials	Physician's Assistant Certified (PA-C)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 2nd, 2022
Last updated	Feb 6th, 2023 - about 3 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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