Anderson, Kory T

Anderson, Kory T is an individual health care provider with primary practice located at 4401 Harrison Blvd , Ogden UT 84403-3195. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Anderson, Kory T can be contacted via phone (801) 387-3282.

Contact Information

Primary practice address
4401 Harrison Blvd Ogden UT 84403-3195
Phone: (801) 387-3282
Fax: (801) 475-1621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3083260-8905 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3083260-1205 Utah
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 3083260-1205 Utah

Profile Details

NPI number 1922137140
LBN Legal business name Anderson, Kory T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Sep 29th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922137140 NPPES
Utah Other P00642566 MEDICARE RAILROAD

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