Kushman, Langley L

Kushman, Langley L is an individual health care provider with primary practice located at 175 N Medical Dr , Salt Lake City UT 84132-5901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Kushman, Langley L can be contacted via phone (801) 587-6336.

Contact Information

Primary practice address
175 N Medical Dr Salt Lake City UT 84132-5901
Phone: (801) 587-6336
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9316490-1206 Utah

Profile Details

NPI number 1831475748
LBN Legal business name Kushman, Langley L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2011
Last updated Dec 20th, 2021 - about 4 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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