Stephens, Kirk Ronald

Stephens, Kirk Ronald is an individual health care provider with primary practice located at 7396 S Union Park Ave Ste 201 , Midvale UT 84047-6702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Stephens, Kirk Ronald can be contacted via phone (801) 567-1400.

Contact Information

Primary practice address
7396 S Union Park Ave Ste 201 Midvale UT 84047-6702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 10476224-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10476224-1206 Utah

Profile Details

NPI number 1992221980
LBN Legal business name Stephens, Kirk Ronald
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2017
Last updated Jun 14th, 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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