KYLE DAVID WILKENS


Address: 1820 Sidewinder Dr, Park City, UT 84060-7492
Phone: 4356556600

KYLE DAVID WILKENS (NPI# 1689845364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689845364
Entity Type Individual
Full Name KYLE DAVID WILKENS
Practice Address 1820 Sidewinder Dr
Park City
UT 84060-7492
Practice Telephone 4356556600
Practice Fax Number 4356552388
Mailing Telephone 4356556600
Mailing Fax Number 4356552388
Enumeration Date 2008-03-20
Last Update Date 2008-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
6384251-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1820 SIDEWINDER DR
City PARK CITY
State UT
Zip Code 84060-7492

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275514499 Charles C Lind Orthopaedic Surgery 1820 Sidewinder Dr, Park City, UT 84060-7492 2005-11-07
1487830287 Norma Elizabeth Johnson Specialist/Technologist 1820 Sidewinder Dr, Park City, UT 84060-7492 2008-01-11
1538355284 Ihc Health Services, Inc. Clinic/Center 1820 Sidewinder Dr, Park City, UT 84060-7492 2007-09-17
1730197252 Troy Johnson Physician Assistant 1820 Sidewinder Dr, Park City, UT 84060-7492 2006-08-03
1710995386 R Steven Klatt Physician Assistant 1820 Sidewinder Dr, Park City, UT 84060-7492 2006-08-03
1720096324 Steven Pearmain Physician Assistant 1820 Sidewinder Dr, Park City, UT 84060-7492 2006-08-03
1598708182 Sandra Jolene Lehman Optometrist 1820 Sidewinder Dr, Suite 101, Park City, UT 84060-7492 2006-06-13
1144273905 Thomas D Rosenberg Orthopaedic Surgery 1820 Sidewinder Dr, Park City, UT 84060-7492 2006-05-19
1750333092 Michael Hawkes Metcalf Orthopaedic Surgery 1820 Sidewinder Dr, Park City, UT 84060-7492 2006-05-16
1891747291 Vernon J Cooley Orthopaedic Surgery 1820 Sidewinder Dr, Park City, UT 84060-7492 2006-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982233920 Livecare, Inc. Nursing Care 1830 Prospector Avenue, Park City, UT 84060 2020-04-02
1063904266 Louise Knetzger Gallagher Acupuncturist 1107 Woodside Ave, Park City, UT 84060 2018-06-04
1942753421 Valerie Alison Mey Dietitian, Registered 2985 Arabian Dr, Park City, UT 84060 2016-08-01
1659720936 Vibrant Health PC Anesthesiology 1910 Prospector Ave Suite 302, Park City, UT 84060 2016-06-08
1538538657 Pamela Hilbert Dentist 1830 Prospector Ave., Park City, UT 84060 2015-09-18
1174904924 Julie Anna Bullen Counselor 2300 Monitor Drive, Park City, UT 84060 2015-06-17
1265825319 William Gary Smith Obstetrics & Gynecology 2501 Creek Drive, Park City, UT 84060 2015-03-13
1497026330 Earl Warren Stadler Jr. Physical Medicine & Rehabilitation 1500 Three Kings Drive Unit 31, Park City, UT 84060 2012-01-24
1538454541 Belinda Duncan Pharmacist 2700 E Deer Valley Dr B105, Park City, UT 84060 2011-06-17
1184888315 Cody Michael Calderwood Dentist 1600 Snow Creek Dr Ste A, Park City, UT 84060 2008-07-16
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275909418 Charles Dupaix Physician Assistant 900 Round Valley Dr, Suite 100, Park City, UT 84060-7552 2015-08-11
1730197252 Troy Johnson Physician Assistant 1820 Sidewinder Dr, Park City, UT 84060-7492 2006-08-03
1710995386 R Steven Klatt Physician Assistant 1820 Sidewinder Dr, Park City, UT 84060-7492 2006-08-03
1720096324 Steven Pearmain Physician Assistant 1820 Sidewinder Dr, Park City, UT 84060-7492 2006-08-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649892829 Van Martin Stonehocker Physician Assistant 755 W Center St, Orem, UT 84057-5365 2020-05-11
1366004517 Brock Bodily Physician Assistant 10623 S Redwood Rd # 101, South Jordan, UT 84095-2481 2019-07-08
1891230041 Sarah Danielle Mendenhall Physician Assistant 5169 S Cottonwood St Ste 600, Murray, UT 84107-6771 2016-12-26
1104284124 Amanda Cummings Physician Assistant 30 N 1900 E # 3b110, Salt Lake City, UT 84132-0002 2016-02-04
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1861895344 Ariel Black Physician Assistant 30 N 1900 E # 3c344, Salt Lake City, UT 84132-0002 2014-09-29
1336493709 Monica L Hatch Physician Assistant 2132 N 1700 W Ste 200, Layton, UT 84041-7060 2012-11-06
1912130311 Andrew M Strong Physician Assistant 5323 Woodrow St Ste 202, Salt Lake City, UT 84107-5848 2009-09-01
1164666061 Stephen A Loper Physician Assistant 1055 N 500 W Ste 211, Provo, UT 84604-3305 2009-04-23
1982869210 Scott D Taylor Physician Assistant 5323 Woodrow St Ste 102, Murray, UT 84107-5853 2008-07-25
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Competitor

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City PARK CITY
Zip Code 84060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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