<Unavail>
LBN: Gordon R. Kimball M.D.,P.C.
<Unavail> is an health care organization with primary practice located at 9844 S 1300 E Suite 275, Sandy UT 84094-4673. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Gordon R. Kimball M.D.,P.C. can be contacted via phone (801) 571-7061, or through Morgan, Carma H via phone (801) 571-7061.
Contact Information
Primary practice address
9844 S 1300 E Suite 275
Sandy UT 84094-4673
Phone: (801) 571-7061
Fax: (801) 572-4564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0551110013 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1093777047 | Utah |
Profile Details
| NPI number | 1316270655 |
|---|---|
| LBN Legal business name | Gordon R. Kimball M.D.,P.C. |
| DBA Doing business as | <Unavail> |
| Authorized official | Morgan, Carma H |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 17th, 2009 |
| Last updated | Jul 13th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316270655 | NPPES |
| Utah | MEDICAID | 999000116008 | |
| Utah | Other | 1578545919 |
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