Anderson, Kirk R

Anderson, Kirk R is an individual health care provider with primary practice located at 306 River Bend Ln , Provo UT 84604-5625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anderson, Kirk R can be contacted via phone (801) 226-8880.

Contact Information

Primary practice address
306 River Bend Ln Provo UT 84604-5625
Phone: (801) 226-8880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1621571205 Utah

Profile Details

NPI number 1801854021
LBN Legal business name Anderson, Kirk R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 11th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801854021 NPPES
Utah Other 0358 DMBA
Utah Other 04-00306 DMBA
Utah Other 870281028AN1 DMBA
Utah Other 110037852 DMBA
Utah Other 14053 DMBA
Utah MEDICAID 870281028000 DMBA
Utah Other 107006625101 DMBA
Utah Other QM0000000034 DMBA

Popular Providers