Vick, Kevin T

Vick, Kevin T is an individual health care provider with primary practice located at 3460 Pioneer Pkwy , West Valley UT 84120-2049. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Vick, Kevin T can be contacted via phone (801) 993-1566.

Contact Information

Primary practice address
3460 Pioneer Pkwy West Valley UT 84120-2049
Phone: (801) 993-1566
Fax: (801) 733-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 5594772-4406 Utah

Profile Details

NPI number 1831294784
LBN Legal business name Vick, Kevin T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1831294784 NPPES
Utah Other TPRA09780 MOLINA
Utah Other 218512 MOLINA
Utah Other 78674 MOLINA
Utah Other 880917 MOLINA

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