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
Phone: (801) 567-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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